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Laparoscopic ventral and incisional hernioplasty
M D Holzman1, C M Purut, K Reintgen
1Duke University Medical Center, Department of Surgery, Durham, NC 27710, USA.
Surgical Endoscopy
|January 1, 1997
Summary
Laparoscopic ventral hernia repair offers comparable safety and effectiveness to open surgery. This minimally invasive approach results in shorter hospital stays and reduced costs for patients.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Ventral hernia repair is a common surgical procedure.
- Laparoscopic techniques for ventral hernia repair have been available since 1992.
- Comparative studies between laparoscopic and open ventral herniorrhaphy are lacking.
Purpose of the Study:
- To compare the outcomes of laparoscopic ventral hernia repair with traditional open repair.
- To analyze operative course, hospital stay, patient outcomes, and cost-effectiveness.
Main Methods:
- A retrospective comparison of 21 laparoscopic ventral hernia repairs and 16 open repairs.
- Analysis of patient demographics, comorbidities, operative details, and postoperative outcomes.
- Inclusion of cost analysis for both surgical approaches.
Main Results:
- No significant differences in previous operations, prior hernia repairs, or comorbidities between groups.
- Open repair patients were older with larger defects; had shorter operative times but longer hospital stays and higher costs.
- Postoperative complication rates were 31% for open repair and 23% for laparoscopic repair; recurrence rates were similar (2 per group).
Conclusions:
- Laparoscopic ventral herniorrhaphy demonstrates comparable safety and efficacy to open repair.
- Laparoscopic repair is associated with a shorter hospital length of stay.
- The laparoscopic approach offers decreased hospital costs compared to traditional open surgery.