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Laparoscopic sutured closure with mesh reinforcement of incisional hernias

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Abstract

Background

This study reports medium-term outcomes of laparoscopic incisional hernia repair.

Study Design

Laparoscopic repair was performed on 721 patients with ventral hernia. After adhesiolysis the defect was closed with no. 1 polyamide suture or loop. This was followed by reinforcement with intraperitoneal onlay repair with a bilayered mesh.

Results

Laproscopic repair of ventral hernia was performed on 613 females and 108 males. Of these, 185 (25.7%) were recurrent incisional hernias of which 93 had undergone previous open hernioplasty. The remaining 92 patients had previously undergone sutured repair. The average operating time was 95 min (range 60–115 min). Conversion rate was 1%. The average hospital stay was 2 days (range 1–6 days). The commonest complication was seroma formation at the incisional hernia site. Full-thickness bowel injury occurred in two patients. The mean follow-up period was 4.2 years (range 3 months to 10 years). Recurrence was noted in four (0.55%) patients.

Conclusion

Laparoscopic repair is well-tolerated and can be accomplished with minimum morbidity in ventral hernias.

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Authors and Affiliations

  1. Department of GI and Minimally Invasive Surgery, Gem Hospital, 45 A, Pankaja Mill Road, Ramanathapuram, Coimbatore, 641045, Tamilnadu, India

    C. Palanivelu, K. V. Jani, P. Senthilnathan, R. Parthasarathi, M. V. Madhankumar & V. K. Malladi

Authors
  1. C. Palanivelu
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  2. K. V. Jani
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  3. P. Senthilnathan
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  4. R. Parthasarathi
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  5. M. V. Madhankumar
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  6. V. K. Malladi
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Corresponding author

Correspondence to K. V. Jani.

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Palanivelu, C., Jani, K.V., Senthilnathan, P. et al. Laparoscopic sutured closure with mesh reinforcement of incisional hernias. Hernia 11, 223–228 (2007). https://doi.org/10.1007/s10029-007-0200-0

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  • DOI: https://doi.org/10.1007/s10029-007-0200-0

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