Laparoscopic Incisional and Ventral Hernia Repair (LIVH): An Evolving Outpatient Technique

Authors: Gillian, G. Kevin¹; Geis, W. Peter²; Grover, Gary¹

Source: JSLS, Journal of the Society of Laparoendoscopic Surgeons, Volume 6, Number 4, October - December 2002 , pp. 315-322(8)

Publisher: Society of Laparoendoscopic Surgeons

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Abstract:

Background and Objectives: The contemporary results of open incisional and ventral hernia repair are unsatisfactory because of high recurrence rates and morbidity levels. Laparoscopic repair of ventral and incisional hernias (LIVH) can be accomplished in a simple, reproducible manner while dramatically lowering recurrence rates and morbidity.

Methods: One hundred consecutive patents underwent laparoscopic repair of their ventral and incisional hernias over a 27-month period. Composix mesh and Composix E/X mesh (Davol Inc., Cranston, RI) were utilized for the repairs. Transfixion sutures were not used.

Results: All repairs were completed laparoscopically. No conversions to open techniques were necessary. No postoperative infections have been observed. One recurrent hernia was identified and subsequently repaired with the same technique.

Conclusions: LIVH can be accomplished with a dramatic reduction in recurrence rates and morbidity. The technique for this repair is still in a state of evolution. The construction and handling characteristics of this particular type of mesh have allowed us to eliminate transfixion sutures and to simplify the repair technique while maintaining a very low recurrence rate.

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Keywords: LAPAROSCOPIC HERNIOPLASTY; VENTRAL HERNIA; INCISIONAL HERNIA; MESH; PROSTHETIC MATERIALS; ADHESIONS

Document Type: Research article

Affiliations: 1: Southern Maryland Hospital Center, Clinton, Maryland 2: St. Peter's University Hospital, New Brunswick, New Jersey

Publication date: 2002-10-01

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