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Updated: Feb 3, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
A decade of experience with laparoscopic ventral hernia repairs
1Mayo Clinic School of Medicine, 200 1st Street SW, Rochester, MN, 55902, USA; Mayo Clinic Department of General Surgery, 200 1st Street SW, Rochester, MN, 55902, USA.
Background:
Few studies have evaluated surgical outcomes in long-term follow-up for patients undergoing Laparoscopic Ventral Hernia Repair (LVHR).
Methods:
A retrospective review of long-term follow-up of LVHR patients (2002-2005) at a single institution.
Results:
Sixty-three patients (37 males; mean age = 63, mean BMI = 33, 41% for recurrence) underwent LVHR. Mean operative time was 164 min. Mean hospital stay was 3.7 days. Short- and long-term complications occurred in 19% and 44% of patients, respectively. Mean follow-up was 12.4 years. Recurrent hernias were noted in 15 patients. Seroma formation occurred in 14 patients; small bowel obstruction occurred in 10 patients. Five patients developed mesh infection. Use of PTFE mesh, longer operative time, and a larger hernia defect were risk factors for mesh infection (p < 0.05).
Conclusions:
Long-term outcomes for patients undergoing LVHR are fraught with complications (44%) and a considerable risk of hernia recurrence (23%).
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