[Laparoscopic surgery of recurrent hernias after prosthesis (35 cases)]

Area of Science:

• General Surgery
• Minimally Invasive Surgery
• Surgical Technology

Context:

• Hernia repair is a common surgical procedure.
• Prosthesis use in hernia repair is widespread.
• Laparoscopic techniques offer potential advantages over open surgery.

Purpose:

• To evaluate the outcomes of laparoscopic versus open techniques for hernia repair with prosthesis.
• To assess postoperative morbidity, hospital stay, and patient recovery time.
• To compare the effectiveness of intrapreperitoneal versus intraperitoneal placement of the prosthesis.

Summary:

• This study reviewed 35 cases of hernia repair using prosthesis, comparing classic open surgery (19 cases) with laparoscopic techniques (16 cases).
• Intrapreperitoneal repair was favored (31 cases), with most difficulties arising from intraperitoneal laparoscopy.
• Low postoperative morbidity (two serohematic effusions) and a short mean hospital stay (2.5 days) were observed. Patients returned to normal activity within 7 days, with work resumption influenced by patient motivation.

Impact:

• Laparoscopic hernia repair with prosthesis demonstrates favorable short-term outcomes, including low morbidity and rapid recovery.
• The findings suggest that intrapreperitoneal placement may be associated with fewer complications.
• Further long-term follow-up is needed to confirm the absence of recurrent hernias, as current follow-up is limited to a mean of 21.2 months.