Skip to main content
SpringerLink
Log in

Technique: Laparoscopic Ventral/Incisional Hernia Repair

  • Chapter
  • First Online:
The SAGES Manual of Hernia Repair

  • 3326 Accesses

Abstract

Ventral hernias may be primary or incisional. Primary central hernias may be classified as umbilical, paraumbilical, lumbar, epigastric, and spigelian. Incisional hernias have incidence rates greater than 15% and are likely related to incision size, as well as closure technique, postoperative complications such as infection and patient factors including diabetes, smoking, and immunosuppressant use. Patients seek repair most commonly for discomfort, decreased abdominal wall function, and less commonly for bowel obstruction or bowel ischemia. It is estimated that 300,000 ventral hernias are repaired in Europe and 400,000 in the USA each year.

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

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Cengiz Y, Mansson P, Israelsson LA. Conventional running suture and continuous double loop closure: an experimental study of wound strength. Eur J Surg. 2000;166(8):647–9.

    Article  PubMed  CAS  Google Scholar 

  2. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev. 2011, (3).

    Google Scholar 

  3. Shell D, de la Torre J, Andrades P, Vasconez L. Open repair of ventral incisional hernias. Surg Clin North Am. 2008;88(1):61–83.

    Article  PubMed  Google Scholar 

  4. Luijendijk RW, Hopp WC, van den Tol MP, et al. A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000;343(6):392–8.

    Article  PubMed  CAS  Google Scholar 

  5. Rudmik LR, Schieman C, Dixon E, Debru E. Laparoscopic incisional hernia repair: a review of the literature. Hernia. 2006;10(2):110–9.

    Article  PubMed  CAS  Google Scholar 

  6. LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3(1):39–41.

    PubMed  CAS  Google Scholar 

  7. LeBlanc KA, Elieson MJ, Corder 3rd JM. Enterotomy and mortality rates of laparoscopic incisional and ventral hernia repair: a review of the literature. JSLS. 2007;11(4):408–14.

    PubMed  Google Scholar 

  8. Jenkins E, Yom V, Melman L, et al. Clinical predictors of operative complexity in laparoscopic ventral hernia repair: a prospective study. Surg Endosc. 2010;24:1872–7.

    Article  PubMed  Google Scholar 

  9. Chang EI, Galvez MG, Padilla BE, Freise CE, Foster RD, Hoffman WY. Ten-year retrospective analysis of incisional herniorrhaphy following renal transplantation. Arch Surg. 2011;146(1):21–5.

    Article  PubMed  Google Scholar 

  10. Bege T, Berdah SV, Moutardier V, Brunet C. Risks related to tobacco use in general and intestinal surgery. J Chir. 2009;146(6):532–6.

    Article  CAS  Google Scholar 

  11. Finan KR, Vick CC, Kiefe CI, Neumayer L, Hawn MT. Predictors of wound infection in ventral hernia repair. Am J Surg. 2005;190(5):676–81.

    Article  PubMed  Google Scholar 

  12. Tsereteli Z, Pryor A, Heniford BT, Park A, Voeller G, Ramshaw BJ. Laparoscopic ventral hernia repair (LVHR) in morbidly obese patients. Hernia. 2008;12:233–8.

    Article  PubMed  CAS  Google Scholar 

  13. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias nine years’ experience with 850 consecutive hernias. Ann Surg. 2003;238(3):391–9.

    PubMed  Google Scholar 

  14. Morales-Conde S, Cadet H, Cano A, Bustos M, Morales-Mendez S. Laparoscopic ventral hernia repair without sutures–double crown technique: our experience after 140 cases with a mean follow-up of 40 months. Int Surg. 2005;90(3 Suppl):S56–62.

    PubMed  Google Scholar 

  15. Baccari P, Nifosi J, Ghirardelli L, Staudacher C. Laparoscopic incisional and ventral hernia repair without sutures: a single-center experience with 200 cases. J Laparoendosc Adv Surg Tech A. 2009;19(2):175–9.

    Article  PubMed  Google Scholar 

  16. Wassenaar E, Schoenmaeckers E, Raymakers J, van der Palen J, Rakic S. Mesh-fixation method and pain and quality of life after laparoscopic ventral or incisional hernia repair: a randomized trial of three fixation techniques. Surg Endosc. 2010;24(6):1296–302.

    Article  PubMed  Google Scholar 

  17. Forbes SS, Eskicioglu C, McLeod RS, Okrainec A. Meta-analysis of randomized controlled trials comparing open and laparoscopic ventral and incisional hernia repair with mesh. Br J Surg. 2009;96:851–8.

    Article  PubMed  CAS  Google Scholar 

  18. Clarabelle T, Pham C, Perera D, Watkin S, Maddern GJ. Laparoscopic ventral hernia repair: a systematic review. Surg Endosc. 2009;23:4–15.

    Article  Google Scholar 

  19. Itani KM, Hur K, Kim LT, Anthony T, Berger DH, Reda D, Neumayer L, Veterans Affairs Ventral Incisional Hernia Investigators. Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia: a randomized trial. Arch Surg. 2010;145(4):322–8.

    Article  PubMed  Google Scholar 

  20. Asencio F, Aguilo J, Peiro S, Carbo J, Ferri R, Caro F, Ahmad M. Open randomized clinical trial of laparoscopic versus open incisional hernia repair. Surg Endosc. 2009;23:1441–8.

    Article  PubMed  Google Scholar 

  21. Pring CM, Tran V, O’Rourke N, Martin IJ. Laparoscopic versus open ventral hernia repair: a randomized controlled trial. Aust N Z J Surg. 2008;78(10):903–6.

    Article  Google Scholar 

  22. Olmi S, Scaini A, Cesana GC, Scaini L, Erba E. Laparoscopic versus open incisional hernia repair: an open randomized controlled study. Surg Endosc. 2007;21:555–9.

    Article  PubMed  CAS  Google Scholar 

  23. Navarra G, Musolino C, De Marco ML, Bartolotta M, Barbera A, Centorrino T. Retromuscular sutured incisional hernia repair: a randomized controlled trial to compare open and laparoscopic approach. Surg Laparosc Endosc. 2007;17(2):86–90.

    Article  Google Scholar 

  24. Misra MC, Bansal VK, Kulkarni MP, Pawar DK. Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study. Surg Endosc. 2006;20(12):1839–45.

    Article  PubMed  CAS  Google Scholar 

  25. Moreno-Egea A, Carrasco L, Girela E, Martín JG, Aguayo JL, Canteras M. Open vs. laparoscopic repair of spigelian hernia: a prospective randomized trial. Arch Surg. 2002;137(11):1266–8.

    Article  PubMed  Google Scholar 

  26. Carbajo MA, del Olmo JC M, Blanco JI, de la Cuesta C, Toledano M, Martín F, Vaquero C, Inglada L. Laparoscopic treatment vs. open surgery in the solution of major incisional and abdominal wall hernias with mesh. Surg Endosc. 1999;13(3):250–2.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery, University of Missouri Healthcare, Columbia, MO, USA

    Archana Ramaswamy MD

Authors
  1. Archana Ramaswamy MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Archana Ramaswamy MD .

Editor information

Editors and Affiliations

  1. , Mount Sinai Medical Center, Mount Sinai School of Medicine, 1010 5th Avenue, New York, 10028, New York, USA

    Brian P. Jacob

  2. Advanced Hernia Solutions, Department of General Surgery, Transformative Care Institute, 1890 Lpga Blvd Suite 250, Daytona Beach, 32117, USA

    Bruce Ramshaw

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Ramaswamy, A. (2013). Technique: Laparoscopic Ventral/Incisional Hernia Repair. In: Jacob, B., Ramshaw, B. (eds) The SAGES Manual of Hernia Repair. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-4824-2_29

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-4824-2_29

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-4823-5

  • Online ISBN: 978-1-4614-4824-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation