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Published on: September 11, 2021
A simplified laparoscopic ventral hernia repair: the scroll technique.
A A Saber1, M H Elgamal, A J Rao
1Department of Surgery, Michigan State University/Kalamazoo Center of Medical Studies, 1000 Oakland Drive, Kalamazoo, MI 49008, USA. Saber@kcms.msu.edu
Surgical Endoscopy
|March 7, 2008
Summary
This study introduces a simple scroll technique for laparoscopic ventral hernia repair. The technique demonstrates a lower recurrence rate and shorter hospital stay compared to existing methods.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Abdominal Wall Reconstruction
Background:
- Laparoscopic ventral hernia repair is an alternative to open surgery but presents technical challenges.
- The scroll technique offers a simplified approach to laparoscopic ventral hernia repair.
Purpose of the Study:
- To present and evaluate a novel scroll technique for laparoscopic ventral hernia repair.
- To assess the feasibility, safety, and efficacy of this technique.
Main Methods:
- A total of 174 patients underwent laparoscopic ventral hernia repair using the scroll technique.
- Mesh is fixed to the anterior abdominal wall in a rolled state before unfolding.
- Data on patient characteristics, operative time, and complications were collected and compared with literature.
Main Results:
- Mean operative time was comparable to existing laparoscopic methods (102 min).
- Hospital stay was significantly shorter (mean 1.8 hours).
- A low recurrence rate (1.7%) was observed over a mean 28-month follow-up, with no mortalities or bowel injuries.
Conclusions:
- The scroll technique is a simple, feasible, and reproducible method for laparoscopic ventral hernia repair.
- The technique is associated with a short learning curve and a low recurrence rate.
- This approach offers a promising alternative for surgeons performing laparoscopic ventral hernia repair.