Skip to main content
Top
Published in: Hernia 5/2019

01-10-2019 | Laparoscopy | Original Article

Extraperitoneal laparoscopic ventral hernia repair: one step beyond

Authors: J. Ruíz, A. Barrios, A. Lora, V. Vega, G. Florez, F. Mendivelso

Published in: Hernia | Issue 5/2019

Login to get access

Abstract

Purpose

The objective of the study was to analyze the experience of the Department of Surgery of two institutions of high complexity in Colombia, with the extra peritoneal ventral hernia repair by laparoscopy during the last 2 years and characterize the clinical and surgical aspects most relevant in the procedures performed.

Methods

Observational, descriptive, retrospective study, case series type: collection of data by clinical history and analysis thereof including calculation of frequency and central tendency measurements.

Results

59 Cases of Ventral Hernia Repair by laparoscopy, 41 with Transabdominal Preperitoneal approach and 18 totally Extraperitoneal. In total, 7 complications were presented as follows: 1 Case of recurrence, 1 case of chronic pain, 2 complications Dindo–Clavien IIIa and 1 complication IIIb.

Conclusions

The repair of the ventral hernia by Extraperitoneal route is an innovative approach of increasing popularity, which avoids the contact of the mesh with the intestines, thus avoiding the potential complications that this situation generates with good outcomes and at a lower cost.
Literature
2.
go back to reference Heniford BT, Park A, Ramshaw BJ, Voeller G (2006) Laparoscopic repair of ventral hernias laparoscopic repair of ventral hernias. Ann Surg 238(3):1–10 Heniford BT, Park A, Ramshaw BJ, Voeller G (2006) Laparoscopic repair of ventral hernias laparoscopic repair of ventral hernias. Ann Surg 238(3):1–10
4.
go back to reference Slater NJ, Knaapen L, van Goor H (2015) Abdominal wall defects: pathogenesis, prevention and repair. Surgery 33(5):206–213 Slater NJ, Knaapen L, van Goor H (2015) Abdominal wall defects: pathogenesis, prevention and repair. Surgery 33(5):206–213
5.
go back to reference Meijer EJ, Timmermans L, Jeekel J, Lange JF, Muysoms FE (2013) The principles of abdominal wound closure. Acta Chir Belg 113(4):239–244CrossRefPubMed Meijer EJ, Timmermans L, Jeekel J, Lange JF, Muysoms FE (2013) The principles of abdominal wound closure. Acta Chir Belg 113(4):239–244CrossRefPubMed
6.
go back to reference Vorst AL, Kaoutzanis C, Carbonell AM, Franz MG (2015) Evolution and advances in laparoscopic ventral and incisional hernia repair. World J Gastrointest Surg 7(11):293–305CrossRefPubMedPubMedCentral Vorst AL, Kaoutzanis C, Carbonell AM, Franz MG (2015) Evolution and advances in laparoscopic ventral and incisional hernia repair. World J Gastrointest Surg 7(11):293–305CrossRefPubMedPubMedCentral
7.
go back to reference Jin J, Rosen MJ (2008) Laparoscopic versus open ventral hernia repair. Surg Clin North Am 88(5):1083–1100CrossRefPubMed Jin J, Rosen MJ (2008) Laparoscopic versus open ventral hernia repair. Surg Clin North Am 88(5):1083–1100CrossRefPubMed
8.
go back to reference Access O (2015) Outcome of four years experience in laparoscopic ventral hernia repair. Pak J Med Sci 31(4):987–990 Access O (2015) Outcome of four years experience in laparoscopic ventral hernia repair. Pak J Med Sci 31(4):987–990
10.
go back to reference Fernández Lobato R, Ruiz de Adana Belbel JC, Angulo Morales F, García Septiem J, Marín Lucas FJ (2014) Limones Esteban M. Estudio de coste-beneficio comparando la reparación de la hernia ventral abierta y laparoscopia. Cir Esp 92(8):553–560CrossRefPubMed Fernández Lobato R, Ruiz de Adana Belbel JC, Angulo Morales F, García Septiem J, Marín Lucas FJ (2014) Limones Esteban M. Estudio de coste-beneficio comparando la reparación de la hernia ventral abierta y laparoscopia. Cir Esp 92(8):553–560CrossRefPubMed
13.
go back to reference Chowbey PK, Sharma A, Khullar R, Soni V, Baijal M (2003) Laparoscopic ventral hernia repair with extraperitoneal mesh: surgical technique and early results. Surg Laparosc Endosc Percutan Tech 13(2):101–105CrossRefPubMed Chowbey PK, Sharma A, Khullar R, Soni V, Baijal M (2003) Laparoscopic ventral hernia repair with extraperitoneal mesh: surgical technique and early results. Surg Laparosc Endosc Percutan Tech 13(2):101–105CrossRefPubMed
14.
go back to reference Miserez M, Penninckx F (2002) Endoscopic totally preperitoneal ventral hernia repairs: surgical technique and short-term results. Surg Endosc Other Interv Tech 16(8):1207–1213CrossRef Miserez M, Penninckx F (2002) Endoscopic totally preperitoneal ventral hernia repairs: surgical technique and short-term results. Surg Endosc Other Interv Tech 16(8):1207–1213CrossRef
15.
16.
go back to reference Wiessner R, Vorwerk T, Tolla-jensen C, Gehring A (2017) Continuous laparoscopic closure of the linea alba with barbed sutures combined with laparoscopic mesh implantation (IPOM plus repair) as a new technique for treatment of abdominal hernias. Front Surg 4:1–6CrossRef Wiessner R, Vorwerk T, Tolla-jensen C, Gehring A (2017) Continuous laparoscopic closure of the linea alba with barbed sutures combined with laparoscopic mesh implantation (IPOM plus repair) as a new technique for treatment of abdominal hernias. Front Surg 4:1–6CrossRef
Metadata
Title
Extraperitoneal laparoscopic ventral hernia repair: one step beyond
Authors
J. Ruíz
A. Barrios
A. Lora
V. Vega
G. Florez
F. Mendivelso
Publication date
01-10-2019
Publisher
Springer Paris
Published in
Hernia / Issue 5/2019
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-01904-0

Other articles of this Issue 5/2019

Hernia 5/2019 Go to the issue