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. 2002 Oct-Dec;6(4):315-22.

Laparoscopic incisional and ventral hernia repair (LIVH): an evolving outpatient technique

G Kevin Gillian  1 , W Peter Geis, Gary Grover
Affiliations

Laparoscopic incisional and ventral hernia repair (LIVH): an evolving outpatient technique

G Kevin Gillian et al. JSLS. 2002 Oct-Dec.

Abstract

Background and objectives: The contemporary results of open incisional and ventral hernia repair are unsatisfactory because of high recurrence rates and morbidity levels. Laparoscopic repair of ventral and incisional hernias (LIVH) can be accomplished in a simple, reproducible manner while dramatically lowering recurrence rates and morbidity.

Methods: One hundred consecutive patents underwent laparoscopic repair of their ventral and incisional hernias over a 27-month period. Composix mesh and Composix E/X mesh (Davol Inc., Cranston, RI) were utilized for the repairs. Transfixion sutures were not used.

Results: All repairs were completed laparoscopically. No conversions to open techniques were necessary. No postoperative infections have been observed. One recurrent hernia was identified and subsequently repaired with the same technique.

Conclusions: LIVH can be accomplished with a dramatic reduction in recurrence rates and morbidity. The technique for this repair is still in a state of evolution. The construction and handling characteristics of this particular type of mesh have allowed us to eliminate transfixion sutures and to simplify the repair technique while maintaining a very low recurrence rate.

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References

    1. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3(1):39–41 - PubMed
    1. Paul A, Korenkov M, Peters S, Köhler L, Fisher S, Troidl H. Unacceptable results of the Mayo procedure for repair of abdominal incisional hernias. Comparison of laparoscopic and open ventral herniorrhaphy. Eur J Surg. 1998;164:361–367 - PubMed
    1. Chowbey PK, Sharma A, Khullar R, Mann V, Baijal M, Vashistha A. Laparoscopic ventral hernia repair. J Laparoendosc Adv Surg Tech A. 2000;10(2):79–84 - PubMed
    1. Geis WP, Gillian GK, Kim HC, Zern JT. Avoidance of laparoscopic port-site hernias: Use of oblique abdominal wall entry with non-bladed trocars. Surg Endosc. 1999;13:S3
    1. Kinoshita T, Kanehir E, Omura K, Kawakami K, Watanabe Y. Experimental study on heat production by a 23.5-kHz ultrasonically activated device for endoscopic surgery. Surg Endosc. 1999;13:621–625 - PubMed

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