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

Abstract

The published literature indicates fewer wound-related and overall complications and a lower rate of hernia recurrence for LVHR compared to OVHR. Further controlled trials are necessary to substantiate these findings and to assess the health care economic impact of this approach.

Autologous Tissue Reconstruction of Ventral Hernias in Morbidly Obese Patients

“…3 Laparoscopic repairs (recurrence rate, 4%-11%) are even better, and patients experience less postoperative pain and have a faster recovery. [4][5][6] Ventral hernias are especially common following laparotomies in morbidly obese patients (occurring in 40% of cases). 7,8 As a group, obese patients are even more prone to postoperative hernia formation than are patients taking corticosteroids.…”

“…Evidence shows that recurrences and overall morbidity are optimal with laparoscopic repairs. [4][5][6]11,21 v The separation of components technique is particularly appropriate when infection is present or when concomitant bowel surgery is indicated. It is also the technique of choice for abdominal wall hernias that have recurred several times.…”

Laparoscopic incisional and ventral hernia repair in a district general hospital

“…In addition, the overall prevalence of recurrence of 2.8% was low compared with that reported in the literature (1-20%). 5,[10][11][12][13][14] The duration of follow-up of our study was relatively short (median, 30.2 months), but most recurrences reported in the literature occur within one year of surgery, and our follow-up period is at least comparable with that of other studies. Similarly, the prevalence of recurrence reported here is equal or superior to most series of open repairs reported.…”

Repair of Ventral Hernia by Pre-Peritoneal and Pre- Posterior Rectus Sheath Insertion of Prolene Mesh

“…There are conflicting data regarding whether the use of mesh during hernia repair results in a greater risk for infection than traditional repair without mesh. Following a primary, non-mesh suture repair the reported risk of wound infection ranges from 0 to 6 percent [12], while the risk of infection after a mesh repair ranges from 0.4 to 14 percent [13][14][15][16].…”