Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study

Abstract

Laparoscopic repair of incisional and ventral hernias is superior to open mesh repair in terms of significantly less blood loss, fewer complications, shorter hospital stay, and excellent cosmetic outcome.

A Study of incisional hernia repair at teaching tertiary care hospital - Laparoscopic vs. Open Repair

“…19 In the underlying trial, the use of mesh was mandatory for all incisional hernia repairs, frequently using polypropyl-ene material in the sublay or intraperitoneal position. Shorter operative time for laparoscopic incisional hernia repair was reported by a number of recently published studies, 13,14,20,21 while other studies show no differences or longer operative times in the laparoscopic group. 22,23 In small incisional hernia, introduction of trocars and positioning of instruments can be time-consuming.…”

“…Several small randomized studies reported no differences in postoperative pain after laparoscopic and open incisional hernia repair. 13,14,20 One trial reported reduced use of analgesics after laparoscopic repair. 21 Postoperative pain after incisional hernia repair often originates not from the hernia itself, but from the surrounding tissues.…”

“…Recent studies have shown that in the short term, laparoscopic repair is superior to open repair in terms of less blood loss, fewer perioperative complications, and shorter hospital stay. 13,14 Longterm outcomes such as recurrence rates for laparoscopic mesh repair are in the range of 9 to 12 % . 25 The aim of this study was to compare laparoscopic vs. open ventral incisional hernia repair with regard to postoperative pain and nausea, operative time, blood loss, perioperative and postoperative complications, length of hospital stay, and recurrence rates.…”

Hernioplastía Ventral Laparoscópica

“…La mediana del diámetro mayor de los defectos reparados fue 6 cm (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20). 67,7% de los defectos reparados correspondieron a hernias incisionales, un 26% (n = 33) de los casos eran recidivas de reparaciones anteriores, esteroidales y paracetamol por horario.…”

“…La introducción de la cirugía mínimamente invasiva, abrió la posibilidad de la reparación laparoscópica de las hernias ventrales. Diversos estudios han demostrado su superioridad frente a la cirugía abierta en términos de complicaciones, dolor postoperatorio y estadía hospitalaria 4 . En relación a la recidiva, las diferencias no son tan claras 5 y existe controversia respecto a los factores que determinan una mayor recidiva herniaria.…”