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Updated: Jul 5, 2026
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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Laparoscopic incisional hernia mesh repair with the "double-crown" technique: a case-control study
Graziano Ceccarelli1, Alberto Patriti, Alberto Batoli
1Department of General, Vascular, Minimally Invasive and Robotic Surgery, San Matteo degli Infermi Hospital, Spoleto, Italy. g.cecca2003@libero.it
Summary
Laparoscopic incisional hernia repair using the double-crown technique shows low complications and similar recurrence rates compared to open repair. This method offers a viable alternative for large incisional hernias.
Area of Science:
- Abdominal Surgery
- Hernia Repair
- Minimally Invasive Surgery
Background:
- Incisional hernia is a common complication following abdominal surgery.
- Laparoscopic mesh repair is effective, but fixation methods remain debated.
- Limited studies evaluate specific laparoscopic mesh fixation techniques.
Purpose of the Study:
- To assess the efficacy of the "double-crown" mesh fixation technique in laparoscopic incisional hernia repair.
- To compare outcomes of laparoscopic repair with the double-crown technique against open incisional hernia repair.
Main Methods:
- A prospective case-control study involving 94 laparoscopic incisional hernia repairs using the double-crown technique.
- Comparison with a retrospective cohort of 87 open incisional hernia repairs.
- Data collected on operative time, hospitalization duration, complications, and recurrence rates.
Main Results:
- Laparoscopic repair had a longer operative time but reduced hospitalization and early postoperative complications.
- The recurrence rate was 2.1% for laparoscopic repair versus 6.9% for open repair after mean follow-ups of 38 and 8 years, respectively.
- No statistically significant difference in recurrence rates between the two groups (P > 0.05).
Conclusions:
- Laparoscopic incisional hernia repair with the double-crown technique demonstrates favorable medium-term outcomes.
- This technique is associated with a low complication rate.
- Recurrence rates are comparable to traditional open repair methods.
