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Updated: May 27, 2026

Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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Laparoscopic ventral hernia repair: does primary repair in addition to placement of mesh decrease recurrence?

Ambar Banerjee1, Catherine Beck, Vimal K Narula

  • 1Center for Minimally Invasive Surgery, The Ohio State University Medical Center, 747 Doan Hall, 410 W 10th Avenue, Columbus, OH 43210, USA.

Surgical Endoscopy
|November 16, 2011
PubMed
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Laparoscopic ventral hernia repair with primary suture repair and mesh underlay showed a lower recurrence rate than mesh alone. This technique is effective for selected ventral hernias, warranting further study.

Area of Science:

  • Minimally invasive surgery
  • Abdominal wall reconstruction
  • Hernia repair outcomes

Background:

  • Laparoscopic ventral hernia repair (LVHR) reduced morbidity but recurrence rates remain significant.
  • Open hernia repair carries higher morbidity.
  • Ongoing need for improved LVHR techniques.

Purpose of the Study:

  • To compare recurrence rates between LVHR with mesh underlay alone versus primary suture repair plus mesh underlay (PSR + MU).
  • To evaluate the effectiveness of PSR + MU in selected ventral hernia cases.
  • To analyze complications associated with different LVHR techniques.

Main Methods:

  • Retrospective observational study of 193 patients undergoing LVHR over 24 months.
  • Patients divided into mesh underlay alone or PSR + MU groups.

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  • Comparison of demographics, recurrence rates, and complications using descriptive statistics and chi-square test.

    • Main Results:

    • Overall recurrence rate was 4.1% (8/193 patients), with all recurrences in incisional hernias.
    • PSR + MU group had a 3% recurrence rate (2/67) vs. 4.8% (6/126) for mesh alone.
    • Recurrent hernias treated with PSR + MU had a lower recurrence rate (4.8%) than mesh alone (10.5%).

    Conclusions:

    • Primary laparoscopic repair with mesh and suture (PSR + MU) is effective in selected ventral hernias, showing lower recurrence than mesh alone.
    • This technique offers a promising alternative for specific ventral hernia repairs.
    • Larger studies are needed to confirm the benefits of PSR + MU over conventional laparoscopic repair.