Abdullah Aldohayan, Mohanad Albalawi, Dr, Rasha Basha, Maram Alaqel, Hassan Arishi, Dr, Mohammed Nabil AlAli, Dr. King Saud University Hospital
Background: Ventral hernia repair (VHR) is a common procedure. Despite the frequency of VHR, the optimum repair method has not been established yet. The aim of this study is to analyze outcomes of VHR using a combined open (small bite short stitch technique (SBSST)) and laparoscopic technique.
Method: A retrospective review was conducted for 46 patients who received a combined laparoscopic and open ventral hernia repair at the medical city of King Saud University in Riyadh, Saudi Arabia. Main outcome measures included postoperative complications and recurrence.
Surgical Technique: Mesh size is determined by adding 5cm longer than hernia defect size. The mesh is mounted with five sutures to the edges and center of the mesh number as per the principles set by the author of patent number US92049SSB. After ports are established and reduction of hernia sac and content is carried out, a small incision is made over the neck of sac where the sac is incised with sac excision, the mesh is introduced through the defect of the wound in aseptic technique which then followed by primary repaired using (SBSST). The sutures are retrieved through the abdominal wall and mesh is tacked to the abdominal wall using capture. Transfacial suture through abdominal wall keeps the mesh in place.
Results: The study started from May 2016 to May 2018, there are 46 patients who underwent ventral hernia repair using this technique were included. Majority of patients were female (N=28). The mean age and body mass index (BMI) was 52.2 years and 32.36 (kg/m2) respectively. The mean defect size was 33.9 cm2. Postoperative complications included 2 seroma (4.3%) occurrences, 1 hematoma (2.1%) and 1 superficial infection (2.1%). At a mean follow up of 17.1 months (range 6 to 28), there was no evidence of hernia recurrence or chronic pain.
Conclusion: We demonstrate that a combined laparoscopic and open (SBSST) hernia repair approach yielded favorable results especially in terms of hernia recurrence rate reduction and long-term patient satisfaction.
(note: video presentation, video is available)
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94396
Program Number: P554
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster