Laparoscopic ventral hernia repair

Hideaki Tsutsumida, Mitsunobu Uto, Mari Kamimura, Toshiro Kamimura. Kamimura Hospital

We have experienced 21 cases of laparoscopic ventral hernia repair (LVHR) since its introduction to our hospital in October 2011. These cases included 7 male and 14 female patients, and their average age and average BMI were 72-years-old (range: 35 – 87 years) and 25.9 (range: 17.4 – 39.7), respectively. We have used several types of mesh, i.e., C-QUR Edge for 8 patients, ProLiteULTRA for 1 patient (with suprapubic hernia that developed concomitant with direct inguinal hernia, for which the mesh was fixed in the preperitoneal cavity), VentrioTM for 9 patients, VENTRALIGHTTM ST for 1 patient, and COMPOSIXTM for 1 patient. As a tucker, ProTackTM and SorbaFixTM, an absorbable tucker, were used for 11 and 10 patients, respectively. Essentially, we inserted the first port for LVHR via the umbilical region in all patients. In 18 of the 21 patients, the umbilicus was included in the hernia orifice. For these 18 patients, the first port (12-mm port) was inserted into the hernia orifice. Although the duration to insufflation was 236 seconds, which was longer than that in normal laparoscopic surgery, there were no complications, such as damage to the intestine and surgical site infection (SSI). In addition, the site was covered by mesh and port site hernia could be prevented after insertion of a sole 12-mm port in the hernia orifice in LVHR. We examined LVHR in the 21 patients at our hospital and report the routine surgical procedures.

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