Abstract
 
 

ABSTRACT

Introduction and aim: Laparoscopic ventral hernia repair has become a method of choice for treatment of ventral hernias. It has benefits of shorter hospital stay, less pain, and better cosmetic results, although it continues to remain a challenging procedure, more so in reoperative abdomen and in patients with serious comorbidities. The aim of this study is to evaluate our experience of laparoscopic ventral hernia repair carried out by a single surgical team.

Materials and methods: Ventral hernia, both primary and incisional hernia, was repaired by laparoscopic intraperitoneal onlay mesh (IPOM) repair in 75 patients at a single center within 3 years between January 2013 and December 2016. This was done at a tertiary care center by a single operating team standardizing the procedure and evaluating the learning curve.

Results: Seventy-five patients underwent laparoscopic IPOM repair of which 45 were females and 30 males. The average age was 52 years (35-72) and size of defect ranged from 4 to 12 cm. Dual mesh with expanded polytetrafluoroethylene was used in all patients. Sixty-two cases were incisional hernias, 10 paraumbilical hernias, and 3 umbilical hernias. Of these, 14 were recurrent incisional hernias after open mesh hernioplasty out of which two cases recurred after laparoscopic IPOM. Mean operative time was 60 to 130 minutes. There were no conversions to open technique. The average hospital stay was 2 to 3 days. One patient had postoperative Richter’s hernia which was managed by relaparoscopic reduction and transfascial closure of the defect. Three patients had postoperative ileus, three developed minor wound infection, and one patient had seroma. The average follow-up period was around 12 months.

Conclusion: Laparoscopic IPOM ventral hernia repair is a safe procedure in most cases with benefits of rapid recovery and better patient outcomes, more so in large recurrent incisional hernias and in patients with serious comorbidities.

Keywords: Incisional hernia, Intraperitoneal onlay mesh, Ventral hernia.

How to cite this article: Pandey A, Masood S, Chauhan S, Gupta AK, Goel N, Noman K. Laparoscopic Ventral Hernia Repair: Our Experience in 75 Patients. MGM J Med Sci 2017;4(2):70-74.

Source of support: Nil

Conflict of interest: None

 
 
 


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