Skip to main content

Laparoscopic Ventral/Incisional Hernioplasty

  • Chapter
Laparoscopic Surgery of the Abdomen
  • 469 Accesses

Conclusion

Laparoscopic ventral hernioplasty has been evaluated by a prospective, multicenter study.20 This study reported 144 hernioplasties, 64% incisional, with a mean defect size of 98cm2. The mean operative time was 120min with no major perioperative complications. The mean discharge from the hospital was 2.3 days, with a mean return to normal activity of 15 days. There were 2 major infections (1.4%) that required removal of the patch; these were believed secondary to inadequate shaving of the patient and pulling hair into the suture wounds. The recurrence rate was 4.2%, with a mean follow-up duration of 355 days and a follow-up rate of 94.5%.

Clearly, the laparoscopic repair of the ventral/incisional hernia is a major addition to the surgical armamentarium for this difficult problem.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 279.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Hesselink VJ, Luijendik RW, de Wilt JHW, et al. An evaluation of risk factors in incisional hernia recurrence. Surg Gynecol Obstet 1993;176:228–234.

    PubMed  CAS  Google Scholar 

  2. Santora TA, Roslyn JJ. Incisional hernia. Surg Clin N A 1993;73:557–570.

    CAS  Google Scholar 

  3. Langer S, Christiansen J. Long-term results after incisional hernia repair. Acta Chir Scand 1985;151:217–219.

    PubMed  CAS  Google Scholar 

  4. Van der Linden FT, van Vroonhoven TJ. Long-term results after correction of incisional hernia. Neth J Surg 1988; 40:127–129.

    PubMed  Google Scholar 

  5. Spaw AT, Ennis BW, Spaw LP. Laparoscopic hernia repair: the anatomic basis. J Laparoendosc Surg 1991;1:269–277.

    PubMed  CAS  Google Scholar 

  6. Pick JW, Anson BJ, Ashley FL. The origin of the obturatory artery. Am J Anat 1942;70:317–342.

    Article  Google Scholar 

  7. Toy FK. Surgical Anatomy & Techniques for Laparoscopic Hernioplasty. Arizona: W.L. Gore & Associates, 1994:1–11.

    Google Scholar 

  8. Elliott MP, Juler GL. Comparison of Marlex mesh and microporous Teflon sheets when used for hernia repair in the experimental animal. Am J Surg 1979;137:342–344.

    Article  PubMed  CAS  Google Scholar 

  9. Madden JW, Peacock EE Jr. Studies on the biology of collagen during wound healing. III. Dynamic metabolism of scar collagen and remodeling of dermal wounds. Ann Surg 1971;174:511.

    PubMed  CAS  Google Scholar 

  10. Peacock EE Jr, Van Winkle W Jr. Surgery and Biology of Wound Repair, 2nd Ed. Philadelphia: Saunders, 1976.

    Google Scholar 

  11. Douglas DM. The healing of aponeurotic incisions. Br J Surg 1962;104:273.

    Google Scholar 

  12. Howes EL, Soroy JW, Harvey SC. The healing of wounds as determined by their tensile strength. JAMA 1929;92:242.

    Google Scholar 

  13. Levenson SM, Geeve EF, Crowley W, et al. The healing of rat skin wounds. Ann Surg 1965;161:293.

    PubMed  CAS  Google Scholar 

  14. Mason ML, Allen HS. The rate of healing of tendons. An experimental study of tensile strength. Ann Surg 1941;113: 424.

    PubMed  CAS  Google Scholar 

  15. Rovee DT, Miller CA. Experimental role of breaking strength of wounds. Arch Surg 1968;96:43.

    PubMed  CAS  Google Scholar 

  16. Houck JP, Rypins EB, Sarfeh IJ, et al. Repair of incisional hernia. Surg Gynecol Obstet 1989;169:397–399.

    PubMed  CAS  Google Scholar 

  17. Mueller CB. Editorial: abdominal incisional hernia-the role of wound infection. Can J Surg 1974;17:195.

    PubMed  CAS  Google Scholar 

  18. Stoppa RE. The treatment of complicated groin and incisional hernias. World J Surg 1989;13:545–554.

    Article  PubMed  CAS  Google Scholar 

  19. von Smitten K, Heikel HV, Sundell B. Repair of incisional hernia by F. Langenskiold’s operation. Acta Chir Scand 1982;148:257–261.

    Google Scholar 

  20. Toy FK, Moskowitz M, Smoot RT, et al. Results of a prospective multicenter trial evaluating the e-PTFE peritoneal onlay laparoscopic inguinal hernioplasty. J Laparoendosc Surg 1996;6(6).

    Google Scholar 

  21. Elek SD, Conin PE. The virulence of Staphylococcus pyogenes for man: a study of the problem of wound infection. Br J Exp Pathol 1957;38:573–579.

    PubMed  CAS  Google Scholar 

  22. Franson TR, Sheth NK, Rose HD, et al. Scanning electron microscopy of bacterial adherent to intravascular catheters. J Clin Microbiol 1984;20:500–505.

    PubMed  CAS  Google Scholar 

  23. Sugarman B. In vitro adherence of bacterial to prosthetic vascular grafts. Infection 1982;10:2–11.

    Article  Google Scholar 

  24. Brown GL, Richardson JD, Malangoni MA, et al. Comparison of prosthetic materials for abdominal wall reconstruction in the presence of contamination and infection. Ann Surg 1985;201:705–711.

    PubMed  CAS  Google Scholar 

  25. Schmitt DD, Bandyk DF, Pequet AJ, et al. Bacterial adherence to vascular prostheses. A determinant of graft infectability. J Vasc Surg 1986;3:732–740.

    Article  PubMed  CAS  Google Scholar 

  26. Rosenman JE, Pearce WH, Kempezinski RF. Bacterial adherence to vascular grafts after in vitro bacteremia. J Surg Res 1985;38:648–655.

    Article  PubMed  CAS  Google Scholar 

  27. Voyles CR, Richardson JD, Bland KI, et al. Emergency abdominal wall reconstruction with polypropylene mesh. Ann Surg 1981;194:219–223.

    PubMed  CAS  Google Scholar 

  28. Bhat DJ, Tellis VA, Kohlberg WI, et al. Management of sepsis involving expanded polytetrafluoroethylene grafts for hemodialysis access. Surgery (St. Louis) 1990;87:445–450.

    Google Scholar 

  29. Connolly JE, Brownell DA, Levine EF, et al. Complications of renal dialysis access procedures. Arch Surg 1984;119: 1325–1328.

    PubMed  CAS  Google Scholar 

  30. Gifford RRM. Management of tunnel infections of dialysis polytetrafluoroethylene grafts. J Vasc Surg 1985;2:854–858.

    Article  PubMed  CAS  Google Scholar 

  31. Raju S. PTFE grafts for hemodialysis access. Ann Surg 1987;206:666–673.

    Article  PubMed  CAS  Google Scholar 

  32. Tellis V, Weiss P, Matas A, et al. Skin flap coverage of polytetrafluoroethylene vascular access graft exposed by previous infection. Surgery (St. Louis) 1988;103:118–121.

    CAS  Google Scholar 

  33. Tellis VA, Kohlberg WI, Bhat DJ, et al. Expanded polytetrafluoroethylene graft fistula for chronic hemodialysis. Ann Surg 1979;189:101–105.

    PubMed  CAS  Google Scholar 

  34. Lennox MS, Ellis H. Fibrinolysis and adhesions formation in the peritoneum. In: 2nd International Symposium on the Surgery and Biology of the Greater Omentum.

    Google Scholar 

  35. Law NH, Ellis H. Adhesion formation and peritoneal healing on prosthetic materials. Clin Mater 1988;3:95–101.

    Article  Google Scholar 

  36. Usher FC, Gannon JP. Marlex mesh. A new plastic mesh for replacing tissue defects. Arch Surg 1959;78:131–137.

    CAS  Google Scholar 

  37. Boyd WC. Use of Marlex mesh in acute loss of the abdominal wall due to infection. Surg Gynecol Obstet 1977; 44:251–252.

    Google Scholar 

  38. Saxen L, Myllarniemi H. Foreign materials and postoperative adhesions. N Engl J Med 1968;279:200–202.

    Article  PubMed  CAS  Google Scholar 

  39. Stone HH, Fabian TC, Turkleson ML, et al. Management of full thickness losses of the abdominal wall. Ann Surg 1981; 24:543–544.

    Google Scholar 

  40. Schneider R, Herrington JL Jr., Granada A. Marlex mesh in repair of a diaphragmatic defect later eroding into the distal esophagus and stomach. Ann Surg 1979;45:337–339.

    CAS  Google Scholar 

  41. Kaufman Z, Engelberg M, Zager M. Fecal fistula: a late complication of Marlex mesh repair. Dis Colon Rectum 1981;24:543–544.

    PubMed  CAS  Google Scholar 

  42. Voyles CR, Richardson JD, Bland KI, et al. Emergency abdominal wall reconstruction with polypropylene mesh. Short-term benefits versus long-term complications. Ann Surg 1981;194:219–223.

    PubMed  CAS  Google Scholar 

  43. Mathes SJ, Stone HH. Acute traumatic losses of abdominal wall substances. J Trauma 1975;15:386–390.

    Article  PubMed  CAS  Google Scholar 

  44. Cerise EJ, Busuttil RW, Craighead CC, et al. The use of mersilene mesh in repair of abdominal wall hernias: a clinical and experimental study. Ann Surg 1975;181:728–734.

    PubMed  CAS  Google Scholar 

  45. Dayton MT, Buchele BA, Shirazi SS, et al. Use of an absorbable mesh to repair contaminated abdominal wall defects. Arch Surg 1986;121:954–960.

    PubMed  CAS  Google Scholar 

  46. Murphy JL, Freeman JB, Dionne PG. Comparison of Marlex and Gore-Tex to repair abdominal wall defects in rats. Can J Surg 1989;32:244–247.

    PubMed  CAS  Google Scholar 

  47. Van da Lei B, Bleichrodt RP, Simmmermocher RKJ, Van Schilfgaarde R. Expanded polytetrafluoroethylene patch for the repair of large abdominal wall defects. Br J Surg 1989;76:803–805.

    PubMed  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2004 Springer-Verlag New York, Inc.

About this chapter

Cite this chapter

Toy, F.K. (2004). Laparoscopic Ventral/Incisional Hernioplasty. In: MacFadyen, B.V., et al. Laparoscopic Surgery of the Abdomen. Springer, New York, NY. https://doi.org/10.1007/0-387-21780-0_35

Download citation

  • DOI: https://doi.org/10.1007/0-387-21780-0_35

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-98468-1

  • Online ISBN: 978-0-387-21780-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics