Laparoscopic repairs for anterior abdominal wall hernias

Abstract

Background: Abdominal wall hernias are familiar surgical problem. Millions of patients are affected each year presenting with most commonly with ventral, incisional, and inguinal hernias. Hernia may be either symptomatic or asymptomatic and may cause pain or are aesthetically distressing. These problems coupled with the risk of obstruction and incarceration are the most common reasons, patients seeking surgical repair of hernias. Laparoscopic repair of hernia demands for significant expertise. Placement of mesh in a sublay position has found to be effective and to have a low recurrence in anterior abdominal wall hernia repairs.Methods: Prospective study involving 50 patients with anterior abdominal wall hernias undergoing laparoscopic mesh repair in a tertiary center. To determine the usefulness of laparoscopic repairs in the surgical treatment of Anterior Abdominal Wall Hernias (AAWH).Results: Laparoscopic Ventral Hernia Repair (LVHR) using Intraperitoneal Onlay Mesh Repair (IPOM) technique, and Transabdominal Preperitoneal Repair (TAPP) for inguinal hernias in author’s experience was safe, good cosmetic and resulted in short operative time, fewer complications, short hospital stays and no recurrence at 2years follow up. Thus, patients have less morbidity, good quality of life.Conclusions: Laparoscopic AAWH repair should be considered as the procedure of choice for anterior abdominal wall hernias. Effective, safe and feasible and reproducible technique with avoidance of large incisions and extensive dissections, lower incidence of wound infections, reduced analgesic requirements, early recovery, short length of hospital stay and early return to normal activities.