The Era of Minimally Invasive Techniques in the Surgical Treatment of Hernias of the Anterior Abdominal Wall - a Review of the Global Experience

Abstract

Currently, the range of hernia types of the anterior abdominal wall is extremely diverse, and their frequency does not tend to decrease, despite the active and widespread introduction of laparoscopic techniques. Concurrently, the surgery of hernias of the anterior abdominal wall is undergoing active and continuous development, due to changing views on the technology of operating this pathology and the principles of anesthetic management. This results in a growing interest in aspects of the development of this industry - from open techniques to minimally invasive endoscopic robotic techniques. However, each surgical method used in the surgical treatment of ventral defects has its own benefits and drawbacks, as well as complications during anesthesia. This article presents an overview of the global experience in the use of laparo- and endoscopic techniques for the treatment of hernias of the anterior abdominal wall, in the context of both - surgical and anesthetic aspects of these operations.

Modern approaches to the treatment of postoperative hernias

“…Due to the presence of negative aspects of laparoscopic hernia repair and its availability only in specialized hospitals, hernia repair techniques are widely used eoacsistence, consisting of 2 stages: open, during which herniation is performed, adhesion if necessary and the imposition of retaining transabdominal sutures; laparoscopic, during which intra-abdominal fixation of the implant is performed [28,39,63]. Use these methods especially justified in cases availability expressed adhesive process in the abdominal cavity, in addition to this, this modification conjugated with smaller technical difficulties [16,54].…”