Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Jul-Sep;19(3):e2015.00048.
doi: 10.4293/JSLS.2015.00048.

Current Trends in Laparoscopic Ventral Hernia Repair

Evangelos P Misiakos  1 , Paul Patapis  1 , Nick Zavras  1 , Panagiotis Tzanetis  1 , Anastasios Machairas  1
Affiliations
Review

Current Trends in Laparoscopic Ventral Hernia Repair

Evangelos P Misiakos et al. JSLS. 2015 Jul-Sep.

Abstract

Background and objectives: The purpose of this study was to analyze the surgical technique, postoperative complications, and possible recurrence after laparoscopic ventral hernia repair (LVHR) in comparison with open ventral hernia repair (OVHR), based on the international literature.

Database: A Medline search of the current English literature was performed using the terms laparoscopic ventral hernia repair and incisional hernia repair.

Conclusions: LVHR is a safe alternative to the open method, with the main advantages being minimal postoperative pain, shorter recovery, and decreased wound and mesh infections. Incidental enterotomy can be avoided by using a meticulous technique and sharp dissection to avoid thermal injury.

Keywords: Hernia; Incisional hernia; Laparoscopy; Ventral hernia.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
The adhesions in the abdomen are lysed by electrocautery or with an ultrasonic scalpel. The contents of the hernia sac (omentum or bowel loops) are reduced into the peritoneal cavity.
Figure 2.
Figure 2.
For very large nonreducible or strangulated hernias, especially with a gangrenous bowel, open repair is indicated.
Figure 3.
Figure 3.
In cases in which a piece of mesh from a prior repair is densely adherent to the bowel, a small piece of mesh may be excised and left attached to the bowel to prevent deserosalization or an opening of the bowel wall.
See this image and copyright information in PMC

References

    1. Bloemen A, van Dooren P, Huizinga BF, et al. Randomized clinical trial comparing polypropylene or polydioxanone for midline abdominal wall closure. Br J Surg. 2011;98:633–639. - PubMed
    1. Van't Riet M, Steyerberg EW, Nellensteyn J, et al. Meta-analysis of techniques for closure of midline abdominal incisions. Br J Surg. 2002;89:1350–1356. - PubMed
    1. Pollock AV, Evans M. Early prediction of late incisional hernias. Br J Surg. 1989;76:953–954. - PubMed
    1. Anthony T, Bergen PC, Kim LT, et al. Factors affecting recurrence following incisional herniorrhaphy. World J Surg. 2000;24:95–100; discussion 101. - PubMed
    1. Shell DH, de la Torre J, Andrades T, Vasconez LO. Open repair of ventral hernia incisions. Surg Clin North Am. 2008;88:61–83. - PubMed

LinkOut - more resources