Abstract

BERNAL GOMEZ, Roberto et al. Ventral hernia: laparoscopic vs open approach. Cir. gen [online]. 2014, vol.36, n.2, pp.68-75. ISSN 1405-0099.

Introduction: Laparoscopic ventral hernia repair shares many principles of open Rives-Stoppa repair, with the advantages of minimally invasive surgery. Material and Methods: This Cohort study where results compared two approaches Ventral hernia repair: laparoscopic (A) and open Rives-Stoppa type (B). Evaluation included: operative time, type of hernia (recurring or not), size of the defect, complications, laparoscopic conversion and recurrences. Results: Average operating time: 60 vs 80 minutes, laparoscopic vs open, respectively. Defect size was 6-10 cm, 10-15 cm and over 15 cm in 79% and 74%, 18% and 24% and 2% and 1% for groups A and B. The hospital stay property was 24 hours in 60% of group A and 5 to 7 days in 60% of patients in Group B. Analgesics were used for 48 hours and for 7 days to Groups A and B respectively. There were seroma (8.3%) and persistent pain (4.1%) in group A. There was seroma (9.2%), hematoma (3.7%), wound infection (1.8%) and persistent pain (1.8%) in group B. There were two relapses in each group. Conclusion: Laparoscopic ventral hernia repair is a safe and effective approach and can be performed with morbidity and recurrence rate similar to open surgery with the advantages of minimally invasive surgery.

Keywords : Ventral hernia; Incisional hernia; Complications; Mesh.