Day surgery for laparoscopic repair of abdominal wall hernias

Abstract

Laparoscopic repair of abdominal wall hernias is still a controversial and nongeneralized therapeutic option. The aim of this paper is to evaluate the results of laparoscopic surgery on abdominal wall hernias at a day-surgery unit and to describe our procedure protocol. Prospective analysis of 300 patients undergoing laparoscopic surgery for abdominal wall hernias was conducted: 260 preperitoneal and 40 intraperitoneal. The patients' clinical features, hernia type, intraoperative and postoperative complications, and follow-up are studied for both types of surgery. All the patients receiving surgery with extraperitoneal laparoscopy were completed as a day-surgical procedure with a rate of conversion to open surgery of 2.3%. Twelve (30%) of the 40 patients operated on for ventral hernias using intraperitoneal laparoscopy required hospitalization: five for perioperative complications and seven for pain (16%). There was no case of infection or mesh rejection. The recurrence rates were 0.78% (two cases) for the inguinal hernias and 2.5% (one case) for the ventral hernias. In conclusion, laparoscopic repair of abdominal wall hernias in a day-surgery setting is an efficient alternative to open surgery.

Mesh-Free Laparoscopic Spigelian Hernia Repair

“…[95][96][97] Morbidity is less than with open repair and the recurrence rate in recent studies of primary Spigelian hernia after TEP herniorrhaphy was 0 per cent. 31,52,53,[94][95][96][97] Similarly, proponents of TAPP claim shorter hospital stays and decreased morbidity compared with open operation. TAPP repair of a Spigelian hernia may be most applicable in patients with other pathology such as inguinal or ventral hernias that could be repaired concurrently.…”

Comparison of total extraperitoneal and Lichtenstein repair for Inguinal Hernia.

“…Similar results were seen in the study done by Lau et al in which 100% cases were discharged on the same day. 15,16 Witten becher et al also found similar results in favour of TEP. 17 This can be explained by the factor that the laparoscopic surgery has minimal invasion and lesser degree of surgical incisions and hence these cases need lesser hospital stay and care, hence discharged earlier.…”

Open vs laparoscopic repair of secondary lumbar hernias: a prospective nonrandomized study

“…Once laparoscopic approach was shown to be efficient for ventral hernia repair, the technique was developed and extended to other defects of the abdominal wall [8,10,11,13]. Lumbar hernias are rare and not well understood.…”