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    
 

Complications

  • Seroma 1-5%
  • Bleeding 1%
  • Hematoma 5%
  • Visceral injury 1%
  • Wound infection 2%
  • Bowel obstruction 0.5%
  • Urinary retention 2%
  • Nausea and vomiting 8%
  • Recurrence 10%
  • Mesh infection
  • Enterocutaneous fistula 1-3%


The incidence of postoperative complications and recurrence are less in hernias repaired laparoscopically; based on comparative trials, laparoscopic incisional hernia repair results in fewer complications, lower infection rate and decreased hernia recurrence. But in order to achieve these results, it has to be done by a surgeon with experience in advanced laparoscopic procedures such as Dr. Rosales. It should, moreover, be remembered that many of these complications are transient and can be addressed easily.

Laparoscopic vs. Open Incisional Hernia Repair

  • Very small incisions (3)
  • Fast recovery time (one or two nights hospital stay, depends on the case)
  • Minimal postoperative pain
  • Lower morbidity rate
  • Lower hospital stay
  • Return to normal activity and return to work in shorter period of time (complete recovery in 5 to 7 days)
  • Decreased risk of wound infection and hernia formation
  • Minimal scarring
  • Better visualization, capability of detecting all defects (key advantage)
  • Possibility of adequate overlapping of the mesh in relation to the defect
  • No need of dissection of the abdominal wall fatty tissue to put the mesh in place
  • Possibility of using the abdominal wall’s natural forces to anchor the mesh in place.
Laparoscopic Ventral Hernia Repair with Mesh
     
   
     
  OPEN INCISIONAL HERNIA REPAIR  
“ This next image is “strong”, so viewer discretion is advised”



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