Related Experiment Video
Updated: Apr 7, 2026
05:15
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
7.7K
Laparoscopic ventral/incisional hernia repair: updated Consensus Development Conference based guidelines [corrected].
Gianfranco Silecchia1, Fabio Cesare Campanile, Luis Sanchez
1Division of General Surgery and Bariatric Centre of Excellence, Department of Medico-Surgical Sciences and Biotechnology, Sapienza University of Rome, Via Faggiana 1668, 04100, Latina, LT, Italy.
Surgical Endoscopy
|July 4, 2015
Summary
Updated guidelines recommend laparoscopic hernia repair as a safe and effective alternative to open surgery, offering benefits like shorter hospital stays and reduced infection rates. This approach is particularly advantageous for recurrent hernias and obese patients.
Area of Science:
- Hernia Surgery
- Minimally Invasive Procedures
- Surgical Guidelines
Background:
- The Italian Society for Endoscopic Surgery (SICE) updated its 2010 guidelines due to extensive new literature.
- Focus on advancements and new issues in hernia repair over the past four years.
Purpose of the Study:
- To provide evidence-based recommendations for surgical hernia treatment.
- To address indications, safety, outcomes, and specific patient conditions in hernia repair.
Main Methods:
- Comprehensive literature review on selected topics including mesh types, fixation, complications, and hernia recurrence.
- Utilized Oxford (OCEBM) and GRADE systems for grading evidence and recommendations.
- Involved a panel of experts and external reviewers from EAES and EHS for objective assessment.
Main Results:
- Laparoscopic hernia repair is recommended as an alternative to open repair, showing advantages in reduced hospital stay and wound infection rates.
- Level 1 evidence from meta-analyses supports these recommendations.
- Specific indications for laparoscopy include recurrent ventral hernias and obese patients.
Conclusions:
- Laparoscopic repair is advantageous for specific patient groups, including obese and those with recurrent ventral hernias.
- Explored controversial topics such as intraperitoneal mesh safety, biologic mesh efficacy, and laparoscopic approaches for abdominal border and parastomal hernias.
- Guidelines provide a reliable framework for current hernia repair practices.
