One hundred consecutive laparoscopic ventral hernia repairs

Recurrences after laparoscopic repair of ventral and incisional hernia: lessons learned from 505 repairs

“…This observation supports previous findings indicating that LRVIH can have the same outcome in obese patients as it does in nonobese patients [13][14][15]. In addition, defect size, which correlates with mesh size, operating time, and complications (which also correlate Infection [4,5,[27][28][29][30][31] Previous hernia repair [7][8][9] Operator learning curve [7,11,12] Obesity [8,18] Longer operating time [8,18] Larger defect [8,18] Complications [7,8,18] Surg Endosc (2009) 23:825-832 829 with each other and together indicate the complexity of a repair), does not appear to increase risk of recurrence in our series or some others [16,17], although contradictory results have been reported [8,18]. Recurrence rate was significantly higher after IH repair compared with VH repair in our series, with no recurrences after VH repair.…”

“…Hernias that have recurred after at least one repair have been reported to have a higher recurrence rate than nonrecurrent hernias, after either open repair [6] or LRVIH [7][8][9]. Our experience does not support these observations.…”

Pooled data analysis of laparoscopic vs. open ventral hernia repair: 14 years of patient data accrual

“…Several large single and multiinstitutional series have reported excellent results with few complications and recurrence rates generally less than 10% [3,4,8,14,17,22,27,32]. However, to date there is only one prospective randomized controlled trial that compares laparoscopic to open incisional hernia repair [7] and one that looks at laparoscopic vs. open repair of Spigelian hernias [21].…”

Laparoscopic incisional hernia repair

“…Ujiki et al reviewed their 100 consecutive laparoscopic ventral hernia repairs and concluded that the technique is feasible and safe [16]. They were unable to estimate the frequency of hernia recurrence as the follow-up period in their study was too short and the authors did not comment on the longer-term outcome.…”

“…In general, this procedure involves fixing the mesh with several anchoring sutures as well as with tacks (Protack TM ; US Surgical Corp.) [7,14,16]. The tack is a staple of spiral shape.…”