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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
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Controversies in laparoscopic ventral hernia repair
N van Veenendaal1, M Poelman, J Bonjer
1Department of Surgery, VU University Medical Center, Amsterdam, The Netherlands - n.vanveenendaal@vumc.nl.
Minerva Chirurgica
|September 17, 2015
Summary
Laparoscopic ventral hernia repair is safe but lacks standardized techniques. More research, including randomized controlled trials (RCTs), is needed to resolve controversies regarding patient selection, methods, and outcomes for optimal surgical repair.
Area of Science:
- Minimally Invasive Surgery
- Abdominal Wall Reconstruction
- Surgical Innovation
Background:
- Laparoscopic surgery offers advantages over open repair for ventral hernias, including smaller incisions and faster recovery.
- Despite its benefits, laparoscopic ventral hernia repair lacks standardized techniques and a clear consensus on the optimal approach.
- Existing research often pools data from primary and incisional hernias, complicating interpretation.
Purpose of the Study:
- To review current knowledge on incisional hernias.
- To discuss ongoing controversies in the laparoscopic management of ventral hernias.
- To identify areas requiring further research for evidence-based decision-making.
Main Methods:
- A comprehensive literature review was conducted.
- The review included randomized controlled trials (RCTs) and meta-analyses on incisional and ventral hernias.
- Twenty relevant records were identified and analyzed.
Main Results:
- Controversies persist regarding patient selection, surgical techniques, outcomes, and cost-effectiveness in laparoscopic ventral hernia repair.
- Interpreting existing data is challenging due to the pooling of diverse hernia types.
- A lack of high-quality evidence contributes to the ongoing debates.
Conclusions:
- Significant evidence gaps hinder consensus on the best laparoscopic ventral hernia repair methods.
- Randomized controlled trials (RCTs) and patient registries are crucial for generating robust data.
- Further research is needed to guide clinicians in choosing the most effective surgical techniques, considering efficacy, morbidity, quality of life, and costs.
