Top

Surgical Endoscopy

Published in:

01-11-2008 | Technique

A simplified laparoscopic ventral hernia repair: the scroll technique

Authors: A. A. Saber, M. H. Elgamal, A. J. Rao, E. A. Itawi, T. B. Mancl

Published in: Surgical Endoscopy | Issue 11/2008

Abstract

Background

Laparoscopic ventral hernia repair has steadily gained recognition as an alternative to the open approach. However, the procedure can be technically challenging. The authors present their simple scroll technique for laparoscopic ventral hernia repair.

Methods

A total of 174 patients underwent laparoscopic ventral hernia repair using the scroll technique. The technique entails fixation of the rolled mesh to the anterior abdominal wall before it is unfolded. Patient characteristics, operative time, and complications were analyzed and compared with pooled data from the available literature on laparoscopic ventral hernia repair.

Results

The mean operative time was comparable with that reported by others (mean, 102 vs. 100 min). The hospital stay was shorter (mean, 1.8 vs. 2.4 h). During a mean follow-up period of 28 months, the recurrence rate was lower than that reported by others (1.7% vs. 4.3%). There were no mortalities and no cases of inadvertent bowel injury.

Conclusion

The authors’ scroll technique for laparoscopic repair is simple, feasible, and reproducible, with a short learning curve and a low recurrence rate.

National Center for Health Statistics (1996) Combined surgery data (NHDS and NSAS) data highlights. Retrieved March 13, 2007 at http://www.cdc.gov/nchs/about/major/hdasd/combtab.htm

Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J (2004) Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg 240:578–583PubMed

Kingsnorth A (2006) The management of incisional hernia. Ann R Coll Surg Engl 88:252–260PubMedCrossRef

Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–399PubMed

Deverney KE (2006) Hernias and other lesions of the abdominal wall. In: Doherty GM (ed) Current surgical diagnosis and treatment. McGraw Hill, New York, Chap 32

Mudge M, Hughes LE (1985) Incisional hernia: a 10-year prospective study of incidence and attitudes. Br J Surg 72:70–71PubMedCrossRef

LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using expanded tetrafluoride: preliminary findings. Surg Laparosc Endosc 3:39–41PubMed

Pierce RA, Spitler JA, Frisella MM, Matthews BD, Brunt LM (2007) Pooled data analysis of laparoscopic vs. open ventral hernia repair: 14 years of patient data accrual. Surg Endosc 21:378–386PubMedCrossRef

LeBlanc KA (2005) Incisional hernia repair: laparoscopic techniques. World J Surg 29:1073–1079PubMedCrossRef

10.

Saber AA (2004) Simple technique for mesh placement during laparoscopic ventral hernia repair. Surg Endosc 18:162–164PubMedCrossRef

11.

Bencini L, Sanchez LJ (2004) Learning curve for laparoscopic ventral hernia repair. Am J Surg 187:378–382PubMedCrossRef

12.

Salameh JR, Sweeney JF, Graviss EA, Essien FA, Williams MD, Awad S, Itani KM, Fisher WE (2002) Laparoscopic ventral hernia repair during the learning curve. Hernia 6:182–187PubMedCrossRef

13.

Awad ZT, Puri V, LeBlanc K, Stoppa R, Fitzgibbons RJ Jr, Igbal A, Filipi CJ (2005) Mechanisms of ventral hernia recurrence after mesh repair and a new proposed classification. J Am Coll Surg 201:132–140PubMedCrossRef

14.

LeBlanc KA (2005) Incisional hernia repair: laparoscopic techniques. World J Surg 29:1073–1079PubMedCrossRef

15.

Abir F, Eisenberg D, Bell R (2005) Laparoscopic ventral hernia repair using a two (5-mm) port technique. JSLS 9:94–96PubMed

16.

Leblanc KA (2007) Laparoscopic incisional hernia repair: are transfascial sutures necessary? A review of the literature. Surg Endosc 21:508–513PubMedCrossRef

17.

Harrell AG, Novitsky YW, Kercher KW, Foster M, Burns JM, Kuwada TS, Heniford BT (2006) In vitro infectability of prosthetic mesh by methicillin-resistant Staphylococcus aureus. Hernia 10:120–124PubMedCrossRef

18.

Tsimoyiannis EC, Siakas P, Glantzounis G, Koulas S, Mavridou P, Gossios KI (2001) Seroma in laparoscopic ventral hernioplasty. Surg Laparosc Endosc Percutan Tech 11:317–321PubMedCrossRef

19.

Yavuz N, Ipek T, As A, Kapan M, Eyuboglu E, Erguney S (2005) Laparoscopic repair of ventral and incisional hernias: our experience in 150 patients. J Laparoendosc Adv Surg Tech A 15:601–605PubMedCrossRef

20.

Binenbaum SJ, Goldfarb MA (2006) Inadvertent enterotomy in minimally invasive abdominal surgery. JSLS 10:336–340PubMed

21.

Carbajo MA, Martp del Olmo JC, Blanco JI, Toledano M, dela Cuesta C, Ferreras C, Vaquero C (2003) Laparoscopic approach to incisional hernia. Surg Endosc 17:118–122PubMedCrossRef

Title: A simplified laparoscopic ventral hernia repair: the scroll technique
Authors: A. A. Saber
M. H. Elgamal
A. J. Rao
E. A. Itawi
T. B. Mancl
Publication date: 01-11-2008
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 11/2008
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-008-9791-5

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

A simplified laparoscopic ventral hernia repair: the scroll technique

Abstract

Background

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 11/2008

Incidence of residual choledocholithiasis detected by intraoperative cholangiography at the time of laparoscopic cholecystectomy in patients having undergone preoperative ERCP

Does endoscopic retrograde cholangiopancreatography reduce the risk of local pancreatic complications in acute pancreatitis? A systematic review and metaanalysis

Comparison of two low-molecular-weight heparin dosing regimens for patients undergoing laparoscopic bariatric surgery

The use of fibrin sealant to prevent major complications following laparoscopic gastric bypass: results of a multicenter, randomized trial

Laparoscopic pancreaticoduodenectomy is effective in a porcine model

Two-center experience in the treatment of hemorrhoidal disease using Doppler-guided hemorrhoidal artery ligation: functional results after 1-year follow-up