Incisional/Ventral Hernia  
  Laparoscopic Incisional Hernia Repair
   
  “Recurrence rates vary between 10 – 50% and are reduced by more than half with the use of a mesh. The experience with laparoscopic repairs employing mesh has been favourable with recurrence rates as low as 1-10%.”

   
   
Surgical Procedures  >  Hernias  >   Incisional Hernia    
 

Diagnosis

It is done by a physical examination. Just in difficult cases, imaging studies such as ultrasound or CT Scan, may have a role.

Treatment

For this type of hernia(s) the laparoscopic technique is the preferred option since the advantages of this approach are great, as seen below.

Primary repair (approximation of patient’s own tissues) of incisional hernias can be done when the defect is small in diameter, less than 1 inch (<2.5 cm) and there is viable (strong) surrounding tissue.

Since larger defects, > 1 inch (>2.5cm) have a high recurrence rate if closed primarily (using just sutures to approximate tissues) the use of a prosthetic mesh is mandatory. Recurrence rates vary between 10 – 50% and are reduced by more than half with the use of a mesh. The experience with laparoscopic repairs employing mesh has been favorable with recurrence rates as low as 1-10%.

A variety of meshes are available; the ideal mesh has yet to be defined and finally the one used is decided by Dr. Rosales, depending on what is best for your case.

Regarding the best technique, it is highly desirable to have the mesh placed beneath the fascia, with a wide overlap of mesh and fascia, the forces of the abdominal cavity act to hold the mesh in place. This can be accomplished using the laparoscopic approach for incisional hernia repair, which relies on this principle; that is why it is Dr. Rosales’ preference in the majority of cases.

     
   
     
  Image of the ventral/incisional defect “seen” with the camera from the inside of the abdomen and being covered with the mesh.  




If FAQ’S and Specific FAQ’S have not answered yet all your questions or concerns please click here.

   
       
   
 
Surgical Procedures    l    Packages    l    Dr. Rosales    l    Facilities    l    Why Us?    l    FAQ´S    l    Contact us    l    Links