Abstract
The patient undergoing laparoscopic ventral hernia repair may suffer from other surgical pathologies. These pathologies can be symptomatic prior to the repair of the ventral hernia or their symptoms can be manifested at a later stage. Theoretically, the surgical treatment of these concomitant pathologies, either by the laparoscopic or the open approach, can be postponed to a later time. However, this delay may complicate the previously performed ventral hernia repair by causing infection of the mesh or development of recurrent hernia. In addition, when laparoscopic treatment of concomitant intraabdominal pathologies are done at a later stage, severe intraabdominal adhesions can be encountered. For these reasons, we think that the surgeon must strive to treat associated pathologies simultaneously with ventral hernia repair. However, the surgeon’s decision whether or not to perform concomitant procedures must take into account the circumstances of each individual case. Some crucial points for consideration are: (1) whether the patient is symptomatic or not; (2) can the patient tolerate the concomitant procedure which means longer operation time and increased surgical injury; and (3) whether performance of the concomitant procedure may increase the likelihood for mesh infection.
Keywords
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Szymanski J, Voitk A, Joffer J, Alvarez C, Rozenthal G. Technique and early results of outpatient laparoscopic mesh onlay repair of ventral hernia. Surg Endoscopy 2000; 14:582–584.
Franklin ME, Dorman JP, Glass JL, Balli JE, Gonzalez JJ. Laparoscopic ventral and incisional hernia repair. Surg Laparoscopy and Endoscopy 1998;8:294–299.
Kyzer S, Alis M, Aloni Y, Charuzi I. Laparoscopic repair of postOperation ventral hernia. Early postoperation results. Surg Endos 1999;13:928–931.
Reitter DR, Paulsen KJ, Debord JR, Estes NC. Five-year experience with the “four-before” laparoscopic ventral hernia repair. Am Surg 2000;66:465–469.
Heniford BT, Ramshaw BJ. Laparoscopic ventral hernia repair A report of 100 consecutive cases. Surg Endos 2000;14:419–423.
Rights and permissions
Copyright information
© 2003 Springer-Verlag France
About this chapter
Cite this chapter
Kyzer, S., Charuzi, I. (2003). Consideration regarding Concomitant Operations during Laparoscopic Ventral Hernia Repair: Indications, Management and Trocar Position. In: Laparoscopic Ventral Hernia Repair. Springer, Paris. https://doi.org/10.1007/978-2-8178-0752-2_23
Download citation
DOI: https://doi.org/10.1007/978-2-8178-0752-2_23
Publisher Name: Springer, Paris
Print ISBN: 978-2-287-59755-8
Online ISBN: 978-2-8178-0752-2
eBook Packages: Springer Book Archive