Laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome

Introduction: The laparoscopic approach to repairing ventral and incisional hernias has gained increasing popularity worldwide. The approximation of the hernia defect during laparoscopic ventral hernia repair, prior to mesh fixation, provides a more physiologic and anatomic repair. Defect closure a...

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Autores principales:	A Kumar, CS Agrawal, S Sah, RK Gupta
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/d80c0b94808e42e1ba28dac950b5c96b
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spelling	oai:doaj.org-article:d80c0b94808e42e1ba28dac950b5c96b2021-12-05T19:16:31ZLaparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome10.3126/jssn.v18i3.153141815-39842392-4772https://doaj.org/article/d80c0b94808e42e1ba28dac950b5c96b2016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15314https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction: The laparoscopic approach to repairing ventral and incisional hernias has gained increasing popularity worldwide. The approximation of the hernia defect during laparoscopic ventral hernia repair, prior to mesh fixation, provides a more physiologic and anatomic repair. Defect closure also provides more defect overlap with mesh placement and, possibly decreases recurrence rates. We reviewed the experience of laparoscopic repair of large ventral hernia (diameter ≥5cm) at a university hospital in the Nepal with particular reference to patients with massive defects (diameter ≥15cm) and transfascial closure. Methods: A total of 32 patients underwent laparoscopic ventral (incisional or umbilical/paraumbilical) hernia repair between July 2014 and September 2015. Results: The prevalence of conversion to open surgery was 3.1%. The prevalence of postoperative complications was 15.6%. Median postoperative follow-up was 8.2 months. A total of 9.4% cases suffered late complications and 3.1% developed recurrence. Twelve patients underwent repair of defects ≥10cm in diameter with no recurrence. Three patients underwent repair of ‘massive’ incisional hernia (diameter ≥15cm) with a prevalence of recurrence of 3.1%. Ten patients with a body mass index (BMI) ≥30kg/m2 (range, 32–35kg/m2) underwent laparoscopic repair without any recurrence. Conclusions: Laparoscopic ventral hernia repair with transfascial suturing can be carried out safely with a low prevalence of recurrence. It may have advantages in obese patients in whom open repair would represent a significant undertaking. Laparoscopic ventral hernia repair may be used in cases of large and massive hernias, in which the risk of recurrence increases but is comparable with open repair and associated with low morbidity. A KumarCS AgrawalS SahRK GuptaSociety of Surgeons of NepalarticleSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 A Kumar CS Agrawal S Sah RK Gupta Laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome
description	Introduction: The laparoscopic approach to repairing ventral and incisional hernias has gained increasing popularity worldwide. The approximation of the hernia defect during laparoscopic ventral hernia repair, prior to mesh fixation, provides a more physiologic and anatomic repair. Defect closure also provides more defect overlap with mesh placement and, possibly decreases recurrence rates. We reviewed the experience of laparoscopic repair of large ventral hernia (diameter ≥5cm) at a university hospital in the Nepal with particular reference to patients with massive defects (diameter ≥15cm) and transfascial closure. Methods: A total of 32 patients underwent laparoscopic ventral (incisional or umbilical/paraumbilical) hernia repair between July 2014 and September 2015. Results: The prevalence of conversion to open surgery was 3.1%. The prevalence of postoperative complications was 15.6%. Median postoperative follow-up was 8.2 months. A total of 9.4% cases suffered late complications and 3.1% developed recurrence. Twelve patients underwent repair of defects ≥10cm in diameter with no recurrence. Three patients underwent repair of ‘massive’ incisional hernia (diameter ≥15cm) with a prevalence of recurrence of 3.1%. Ten patients with a body mass index (BMI) ≥30kg/m2 (range, 32–35kg/m2) underwent laparoscopic repair without any recurrence. Conclusions: Laparoscopic ventral hernia repair with transfascial suturing can be carried out safely with a low prevalence of recurrence. It may have advantages in obese patients in whom open repair would represent a significant undertaking. Laparoscopic ventral hernia repair may be used in cases of large and massive hernias, in which the risk of recurrence increases but is comparable with open repair and associated with low morbidity.
format	article
author	A Kumar CS Agrawal S Sah RK Gupta
author_facet	A Kumar CS Agrawal S Sah RK Gupta
author_sort	A Kumar
title	Laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome
title_short	Laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome
title_full	Laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome
title_fullStr	Laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome
title_full_unstemmed	Laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome
title_sort	laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/d80c0b94808e42e1ba28dac950b5c96b
work_keys_str_mv	AT akumar laparoscopichernioplastyoflargeventralherniawithtransfascialsuturesshorttermutilityandoutcome AT csagrawal laparoscopichernioplastyoflargeventralherniawithtransfascialsuturesshorttermutilityandoutcome AT ssah laparoscopichernioplastyoflargeventralherniawithtransfascialsuturesshorttermutilityandoutcome AT rkgupta laparoscopichernioplastyoflargeventralherniawithtransfascialsuturesshorttermutilityandoutcome
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Laparoscopic hernioplasty of large ventral hernia with transfascial sutures: short term utility and outcome

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