Title: Laparascopic Ventral Hernia Repair: A Report of 200 Patients
Authors: Arun Singh, Vidur Jyoti, Akhilesh Pandey, Preeti Yadav
DOI: https://dx.doi.org/10.18535/jmscr/v5i7.73
Abstract
Introduction: Laprascopic ventral hernia (LVHR) is has became a popular technique amongst minimal access surgeon with good results and fast post operative recovery. We are presenting our experience of 200 patients who underwent LVHR.
Method: A prospective study of 200 patients who underwent LVHR (Incisional/Umbilical/Paraumbilical Hernia) between October 2013 to October 2016. Records were analyzed in relation to hernia characteristics, operative time, complication
Result: 200 patients underwent LVHR. 56% were females, 44% were males, Mean age was 54 years. Incisional hernia accounts 48.5% followed by umbilical and paraumbilical hernia which constitute 43.5% of total patient. Mean operative time was 46 minutes and mean hospital stay was 1.6 days. Recurrence rate was 1%. There was no major post operative complication
Conclusion: LVHR is safe and feasible procedure with acceptable rate of complication. In comparison with open ventral hernia repair, it has low complication rate, less hospital stay, and low recurrence.
Keywords: Laparascopic ventral hernia repair (LVHR), Incisional hernia, Ventral hernia.
References
1. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3:39-41
2. Salameh JR (2008). Primary and Unusual Abdominal Wall Hernia. Surg Clin N Am, Feb; 88, No.1: 45-60. W.B Saunders Company
3. Anthony T, Bergen PC, Kim LT, Henderson M, Fahey T, Rege RV. Factors affecting recurrence following incisional herniorrhaphy. World J Surg 2000;24:95–100.
4. Luijendijk RW, Lemmen MH, Hop WC, Wereldsma JC. Incisional hernia recurrence following ‘‘vest-over-pants’’ or vertical Mayo repair of primary hernias of the midline. World J Surg 1997;21:62–5
5. Kaoutzanis C, Leichtle SW, Mouawad NJ, Welch KB, Lampman RM, Cleary RK. Postoperative surgical site infections after ventral/incisional hernia repair: a comparison of open and laparoscopic outcomes. Surg Endosc 2013; 27: 2,221–2,230.
6. Heniford BT, Ramshaw BJ. Laparoscopic ventral hernia repair: a report of 100 consecutive cases. Surg Endosc 2000;14:419–23.
7. Parker 3rd HH, Nottingham JM, Bynoe RP, Yost MJ. Laparoscopic repair of large incisional hernias. Am Surg 2002; 68:530–3.
8. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 2000;190:645–50.
9. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 2003;238:391–9.
10. Moreno-Egea A, Carrillo-Alcaraz A, Aguayo-Albasini JL. Is the outcome of laparoscopic incisional hernia repair affected by defect size? A prospective study. Am J Surg 2012; 203: 87–94
11. Heniford BT, Ramshaw BJ. Laparoscopic ventral hernia repair: a report of 100 consecutive cases. Surg Endosc 2000; 14:419-23. 5
12. Heniford BT, Park AE, Ramshaw BJ, Voeller G. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 2000; 190:645-50.
13. Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg. 1989; 13:545-54
14. Rives J, Pire JC, Flament JB, et al. Treatment of large eventration, new therapatic indications apropos of 322 cases. Chirurgie. 1985;111:215- 25
15. Wantz G.E. Incisional hermoplasty with maslene. Surg Obstct Gyna.e 1991;172:129-37
16. Sanders LM, Flint LM, Ferrara JJ. Initial experience with laparoscopic repair of incisional hernias. Am J Surg. 1999; 177:227-31
17. Schumpelick V, Conze J, Klinge U. Preperitoneal mesh repair of incisional hernias: A comparative retrospective study. Chirurgie. 1996; 67:1028-35
18. Buerger JW, Lange JF, Halm JA, et al. Incisional hernia: Early complication of abdominal surgery. World J Surg. 2005; 29(12):1608-13
19. Buerger, JW, Lange JF, Halm JA, et al. Incisional hernia preventation In ‘Schumpelick V and Nyhus LM’ eds. Meshes: Benefits and risks. Springer Velag, 2004; 399-405
20. Park AE, Birch DW, Lovrics P. Laparoscopic and open incisional hernia repair: A comparison study. Surgery. 1998; 124:816-22
21. Heniford B, Park T, Ramshaw BJ, et al. Laparoscopic repair of ventral hernia: Nine years experiences with 850 consecutive hernias. Ann Surg. 2003: 238; 391-400
22. Bringman S, Conze J, Cuccurullo D, et al. Hernia repair: the search for ideal meshes. Hernia. 2010; 14(1):81-7
23. Pharm C, Watkim S, Middleton P, et al. LVHR: An Accelerated systematic review. Asernip-s Report No. 4 July 2004; 1-45
24. Itani KMF, Hur K, Kim LT, et al. Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia. Arch Surg. 2010; 145(4):322-8
25. Ramshaw BJ, Esartia P, Schwab J, et al. Comparison of laparoscopic and open ventral herniorrhaphy. Am Surg. 1999; 65:827-32
26. Franklin ME, Dorman JP, Glass JL, et al. Laparoscopic ventral and incisional hernia repair. Surg Laparosc Endosc. 1998; 8:294-9
27. Toy FK, Bailey RW, Carey S, et al. Prospective, multicenter study of laparoscopic ventral hernioplasty. Preliminary results. Surg Endosc. 1998; 12:955-9
28. Moreno-Egea A, Liron R, Girela E, et al. Laparoscopic repair of ventral and incisional hernias using a new composite mesh (Parietex): initial experience. Surg Laparosc Endosc Percutan Tech. 2001; 11:103-6
29. Eriksen JR, Gogenur I, Rosenberg J. Choice of mesh for laparoscopic ventral hernia repair. Hernia. 2007; 11(6):481-92
30. Utrera Gonzalez A, de la Portilla de juan F, Carranza Albarran G. Large incisional hernia repair using intraperitoneal placement of expanded polytetrafluoroethylene. Am J Surg. 1999;177:291-3.
31. Yavuz N, Ipek T, AS A, Kapan M, Eyuboglu E, Erguney S. Laparoscopic repair of ventral and incisional hernias: our experience of 150 cases. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2005;15(6):601-5.
32. Bageacu S, Blanc P, Breton C et al. Laparoscopic repair of incisional hernia: a retrospective study of 159 patients. Surg Endosc 2002; 16: 345–348.
33. Bencini L, Sanchez LJ, Bernini M et al. Predictors of recurrence after laparoscopic ventral hernia repair. Surg Laparos Endosc Percutan Tech 2009; 19: 128–132.
34. Ferrari G, Bertoglio C, Magistro C et al. Laparoscopic repair for recurrent incisional hernias: a single institute experience of 10 years. Hernia 2013; 17: 573–580.
35. LeBlanc KA, Elieson MJ, Corder JM III. Enterotomy andmortality rates of laparoscopic incisional and ventral hernia re-pair: a review of the literature.JSLS.2007;11:408–414
36. Franklin ME, Jr, Gonzalez JJ, Jr, Glass JL, Manjarrez A. Laparoscopic ventral and incisional hernia repair: An 11-year experience. Hernia. 2004;8:23–7.
37. LeBlanc KA, Booth WV, Whitaker JM, Bellanger DE. Laparoscopic incisional and ventral herniorraphy in 100 patients. Am J Surg. 2000;180:193–7.
38. Bamehriz F, Birch DW. The feasibility of adopting laparoscopic incisional hernia repair in general surgery practice: Early outcomes in an unselected series of patients. Surg Laparosc Endosc Percutan Tech. 2004;14:207–9.
39. Bower CE, Reade CC, Kirby LW, Roth JS. Complications of laparoscopic incisional-ventral hernia repair: The experience of a single institution. Surg Endosc. 2004;18:672–5.
40. Eid GM, Prince JM, Mattar SG, Hamad G, Ikrammudin S, Schauer PR. Medium-term follow-up confirms the safety and durability of laparoscopic ventral hernia repair with PTFE. Surgery. 2003;134:599–603-4.
41. Ben-Haim M, Kuriansky J, Tal R, Zmora O, Mintz Y, Rosin D, et al. Pitfalls and complications with laparoscopic intraperitoneal expanded polytetrafluoroethylene patch repair of postoperative ventral hernia. Surg Endosc. 2002;16:785–8.
42. Biswas SK, Arefin MM, Saha JC, Ahmed T, Rahman MM. Initial Experience Of Laparoscopic Incisional Hernia Repair. Faridpur Med. Coll. J. 2010;5(2):41–45.
43. Chowbey PK, Sharma A, Khullar R, Soni V, Baijal M. Laparoscopic ventral hernia repair with extraperitoneal mesh: Surgical technique and early results. Surg Laparosc Endosc Percutan Tech. 2003;13:101–5
44. Koehler RH, Voeller G. Recurrences in Laparoscopic Incisional hernia repairs: A personal series and review of the literature. J Soc Laparoendosc Surg. 1999;3:293–304
45. Moreno-Egea A, Castillo JA, Girela BE, Aguayo-Albasini JL.Long-term results of laparoscopic repair of incisional hernias using an intraperitoneal composite mesh. Surg Endosc. 2010;24:359–365.
46. Cuccurullo D, Piccoli M, Agresta F, et al. Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian Consensus Conference.Hernia 2013;17:557–566.
47. A Hussain, H Mahmood, laparoscopic ventral herniarepair.Our expeience of 61 consecutive series : prospective study.IJS06.(2008):15-19
48. CDMann, A.Luther. Laparoscopic incisional and ventral hernia repair in a district general hospital.Ann R Coll Surg Engl 2015:97:22-26
49. Muysoms F, Daeter E, Vander Mijnsbrugge G, Claeys D. Laparoscopic intraperitoneal repair of incisional and ventral hernias. Acta Chir Belg. 2004;104:705–8.
50. Park A, Gagner M, Pomp A. Laparoscopic repair of large incisional hernias. Surg Laparosc Endosc. 1996;6:123–8
