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Current Trends in Laparoscopic Ventral Hernia Repair
Evangelos P Misiakos1, Paul Patapis1, Nick Zavras1
1Third Department of Surgery, University of Athens School of Medicine, Attikon University Hospital, Rimini 1, Chaidari, Athens, Greece.
JSLS : Journal of the Society of Laparoendoscopic Surgeons
|August 15, 2015
Summary
Laparoscopic ventral hernia repair (LVHR) is a safe alternative to open ventral hernia repair (OVHR). LVHR offers benefits like less pain, faster recovery, and fewer infections.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Hernia repair techniques
Background:
- Ventral hernias are common surgical conditions.
- Traditional open ventral hernia repair (OVHR) has established outcomes.
- Laparoscopic ventral hernia repair (LVHR) has emerged as an alternative approach.
Purpose of the Study:
- To compare laparoscopic ventral hernia repair (LVHR) with open ventral hernia repair (OVHR).
- To analyze surgical techniques, postoperative complications, and recurrence rates.
- To evaluate LVHR based on international literature.
Main Methods:
- Conducted a Medline literature search.
- Utilized search terms: "laparoscopic ventral hernia repair" and "incisional hernia repair."
- Focused on current English literature.
Main Results:
- Laparoscopic ventral hernia repair (LVHR) demonstrates comparable safety to open ventral hernia repair (OVHR).
- LVHR is associated with reduced postoperative pain and shorter recovery times.
- Lower rates of wound and mesh infections observed with LVHR.
Conclusions:
- Laparoscopic ventral hernia repair (LVHR) is a viable and safe alternative to OVHR.
- Key advantages of LVHR include decreased postoperative pain, accelerated recovery, and fewer surgical site infections.
- Meticulous surgical technique and sharp dissection are crucial to prevent complications like incidental enterotomy.
