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Laparoscopic Ventral Hernia Repair with Defect Closure

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Hernia Surgery

Abstract

While laparoscopic ventral hernia repair (LVHR) has been shown to provide a safe method of hernia repair with reduced wound morbidity when compared to open repair, laparoscopic closure of the hernia defect remains a debated topic. Instead of bridging the defect as with traditional LVHR, defect closure aims to reapproximate the linea alba, thus creating a more functional abdominal wall by medializing the rectus muscles. In addition to eliminating the need to bridge defects, closure offers the advantages of smaller mesh use, obliteration of the dead space resulting in reduced seromas and mesh exposure, as well as reducing subjective postoperative bulging. While laparoscopic closure of abdominal wall defects has increased in popularity, there is a continued need for randomized trials to truly demonstrate long-term durability and advantages over traditional bridged LVHR.

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References

  1. Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012;16:179–83.

    Article  CAS  PubMed  Google Scholar 

  2. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg. 2003;238:391–9. discussion 399–400.

    PubMed  PubMed Central  Google Scholar 

  3. Itani KM, Hur K, Kim LT, Anthony T, Berger DH, Reda D, Neumayer L. Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia: a randomized trial. Arch Surg. 2010;145:322–8. discussion 328.

    Article  PubMed  Google Scholar 

  4. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M (2011) Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev:CD007781

    Google Scholar 

  5. Salvilla SA, Thusu S, Panesar SS. Analysing the benefits of laparoscopic hernia repair compared to open repair: a meta-analysis of observational studies. J Minim Access Surg. 2012;8:111–7.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Zhang Y, Zhou H, Chai Y, Cao C, Jin K, Hu Z. Laparoscopic versus open incisional and ventral hernia repair: a systematic review and meta-analysis. World J Surg. 2014;38:2233–40.

    Article  PubMed  Google Scholar 

  7. Giancoli DC. Physics : principles with applications. 4th ed. Englewood Cliffs, N.J.: Prentice Hall; 1995.

    Google Scholar 

  8. Sabiston DC, Townsend CM. Sabiston textbook of surgery : the biological basis of modern surgical practice. 18th ed. Philadelphia: Saunders/Elsevier; 2008.

    Google Scholar 

  9. Brown CN, Finch JG. Which mesh for hernia repair? Ann R Coll Surg Engl. 2010;92:272–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Srivastava A, Sood A, Joy PS, Mandal S, Panwar R, Ravichandran S, Sarangi S, Woodcock J. Principles of physics in surgery: the laws of mechanics and vectors physics for surgeons-part 2. Indian J Surg. 2010;72:355–61.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Breuing K, Butler CE, Ferzoco S, Franz M, Hultman CS, Kilbridge JF, Rosen M, Silverman RP, Vargo D. Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair. Surgery. 2010;148:544–58.

    Article  PubMed  Google Scholar 

  12. Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg. 2012;204:709–16.

    Article  PubMed  Google Scholar 

  13. Agarwal BB, Agarwal S, Gupta MK, Mishra A, Mahajan KC. Laparoscopic ventral hernia meshplasty with “double-breasted” fascial closure of hernial defect: a new technique. J Laparoendosc Adv Surg Tech A. 2008;18:222–9.

    Article  PubMed  Google Scholar 

  14. Luijendijk RW, Hop WC, van den Tol MP, de Lange DC, Braaksma MM, JN IJ, Boelhouwer RU, de Vries BC, Salu MK, Wereldsma JC, Bruijninckx CM, Jeekel J. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343:392–8.

    Article  CAS  PubMed  Google Scholar 

  15. Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004;240:578–83. discussion 583–575.

    PubMed  PubMed Central  Google Scholar 

  16. Sauerland S, Schmedt CG, Lein S, Leibl BJ, Bittner R. Primary incisional hernia repair with or without polypropylene mesh: a report on 384 patients with 5-year follow-up. Langenbecks Arch Surg. 2005;390:408–12.

    Article  PubMed  Google Scholar 

  17. Lomanto D, Iyer SG, Shabbir A, Cheah WK. Laparoscopic versus open ventral hernia mesh repair: a prospective study. Surg Endosc. 2006;20:1030–5.

    Article  CAS  PubMed  Google Scholar 

  18. Rosen MJ, Jin J, McGee MF, Williams C, Marks J, Ponsky JL. Laparoscopic component separation in the single-stage treatment of infected abdominal wall prosthetic removal. Hernia. 2007;11:435–40.

    Article  CAS  PubMed  Google Scholar 

  19. Orenstein SB, Dumeer JL, Monteagudo J, Poi MJ, Novitsky YW. Outcomes of laparoscopic ventral hernia repair with routine defect closure using “shoelacing” technique. Surg Endosc. 2011;25:1452–7.

    Article  PubMed  Google Scholar 

  20. Nguyen DH, Nguyen MT, Askenasy EP, Kao LS, Liang MK. Primary fascial closure with laparoscopic ventral hernia repair: systematic review. World J Surg. 2014;38:3097–104.

    Article  PubMed  Google Scholar 

  21. Banerjee A, Beck C, Narula VK, Linn J, Noria S, Zagol B, Mikami DJ. Laparoscopic ventral hernia repair: does primary repair in addition to placement of mesh decrease recurrence? Surg Endosc. 2012;26:1264–8.

    Article  PubMed  Google Scholar 

  22. Clapp ML, Hicks SC, Awad SS, Liang MK. Trans-cutaneous Closure of Central Defects (TCCD) in laparoscopic ventral hernia repairs (LVHR). World J Surg. 2013;37:42–51.

    Article  PubMed  Google Scholar 

  23. Zeichen MS, Lujan HJ, Mata WN, Maciel VH, Lee D, Jorge I, Plasencia G, Gomez E, Hernandez AM. Closure versus non-closure of hernia defect during laparoscopic ventral hernia repair with mesh. Hernia. 2013;17:589–96.

    Article  CAS  PubMed  Google Scholar 

  24. Turner PL, Park AE. Laparoscopic repair of ventral incisional hernias: pros and cons. Surg Clin North Am. 2008;88:85–100. viii.

    Article  PubMed  Google Scholar 

  25. Palanivelu C, Jani KV, Senthilnathan P, Parthasarathi R, Madhankumar MV, Malladi VK. Laparoscopic sutured closure with mesh reinforcement of incisional hernias. Hernia. 2007;11:223–8.

    Article  CAS  PubMed  Google Scholar 

  26. Agarwal BB, Agarwal S, Mahajan KC. Laparoscopic ventral hernia repair: innovative anatomical closure, mesh insertion without 10-mm transmyofascial port, and atraumatic mesh fixation: a preliminary experience of a new technique. Surg Endosc. 2009;23:900–5.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, L223A, Portland, OR, 97239, USA

    Sean B. Orenstein M.D.

  2. Department of Surgery, UH Case Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA

    Yuri W. Novitsky M.D., F.A.C.S.

Authors
  1. Sean B. Orenstein M.D.
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  2. Yuri W. Novitsky M.D., F.A.C.S.
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Corresponding author

Correspondence to Sean B. Orenstein M.D. .

Editor information

Editors and Affiliations

  1. Case Comprehensive Hernia Center, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Yuri W. Novitsky

Electronic Supplementary Material

Laparoscopic VHR with defect closure, by Novitsky (MP4 65,387 kb)

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© 2016 Springer International Publishing Switzerland

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Orenstein, S.B., Novitsky, Y.W. (2016). Laparoscopic Ventral Hernia Repair with Defect Closure. In: Novitsky, Y. (eds) Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-27470-6_22

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  • DOI: https://doi.org/10.1007/978-3-319-27470-6_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27468-3

  • Online ISBN: 978-3-319-27470-6

  • eBook Packages: MedicineMedicine (R0)

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