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Long-term Outcomes in Laparoscopic vs Open Ventral Hernia Repair
Some of these studies are summarized in our study has provided 4. Carbajo MA, Martin del Olmo JC, Blanco JI et al. Laparoscopic

an additional experience in a large patientpopulation and a long treatment vs open surgery in the solution of major incisional and
follow-up. abdominal wall hernias with mesh. Surg Endosc, 1999; 13:250-
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Australasian College of Surgeons Australian Safety and 5. LeBlanc KA. Incisional hernia repair: laparoscopic techniques.
World J Surg 2005; 29:1073-79.

Efficacy Register of New Interventional Procedures–Surgical 6. Dindo D, Demartines N, Clavien PA. Classification of surgical

and other recent studies show clear differences in the duration complications: a new proposal with evaluation in a cohort of

of the hospital stay, operating room supply cost, and the total 6336 patients and results of a survey. Ann Surg 2004; 240:205-

hospital cost between open and laparoscopic ventralincisional 13.
hernia repair. Studies show patient underwent laparoscopic 7. Itani KM, Neumayer L, Reda D, Kim L, Anthony T. Repair of

hernia repair had significantly shorter the hospital stay, the ventral incisional hernia: the design of a randomized trial to

instrument cost was significantly higher, and the overall cost compare open and laparoscopic surgical techniques. Am J Surg.
was significantly lower. Large variations without a clear 2004; 188(suppl):22S-29S.

difference between the open and laparoscopic hernia repair 8. LeBlanc KA, Booth WV, Whitaker JM, Bellanger DE.
Laparoscopic incisional and ventral herniorrhaphy in 100
methods in comparison with complication rates and recurrence patients. Am J Surg 2000; 180:193-97.
rates. Our study used the Clavien classification of complications 9. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic

to account not only for the occurrence of a complication but ventral and incisional hernia repair in 407 patients. J Am Coll

also for the severity. By using this classification, data suggest Surg 2000; 190:645-50. Robbins SB, Pofahl WE, Gonzalez RP.
that more severe complications occurred in patients undergoing Laparoscopic ventral hernia repair reduces wound complications.
open ventral hernia repair, whereas seromas were more Am Surg. 2001; 67:896-900.

frequently noted in patients undergoing laparoscopic repair. 10. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic

The most significantpatients for complications are patients with repair of ventral hernias: nine years’ experience with 820
consecutive hernias. Ann Surg 2003; 238:391-400.

preexisting pulmonarydisease. This study did not have enough 11. McGreevy JM, Goodney PP, Birkmeyer CM, Finlayson SR,
statistical power to examine any correlation between the Laycock WS, Birkmeyer JD. A prospective study comparing
complication rates and mesh type. the complication rates between laparoscopic and open ventral
Older studies described obesity as a risk factor for the hernia repairs. Surg Endosc. 2003;17:1778-80.

development of ventral incisional hernias and also risk factor 12. Lomanto D, Iyer SG, Shabbir A, Cheah WK. Laparoscopic vs
for recurrence and complications. studies show that patients open ventral hernia mesh repair: a prospective study. Surg Endosc

with a BMI more than 30 had a risk of recurrence5 times higher 2006;20:1030-35.

when compared to patients with a BMI less than 25. The high 13. Birgisson G, Park AE, Mastrangelo MJ Jr, Witzke DB, Chu

BMI combined with a relatively long follow-up may have UB. Obesity and laparoscopic repair of ventral hernias. Surg
Endosc. 2001;15:1419-22.

contributed to our recurrence rates, which were at the upper 14. Mendoza-Sagaon M, Hanly EJ, Talamini MA et al. Comparison

end of the reported spectrum. Laparoscopic patient group of the stress response after laparoscopic and open

requiredsignificantly fewer inpatient admissions, a finding that cholecystectomy. Surg Endosc 2000;14:1136-41.

maybe explained by better pain control or faster recovery from 15. Laparoscopic repair of ventral /incisional hernias, by chowbey
operative trauma, as suggested by others. pradeep k, sharma anil, mehrota magan, khuller rajesh, soni
vandana, baijal manish, minimal access surgery & bariatric surgery
CONCLUSION center, Sir Ganga Ram Hospital, New Delhi 110060, India.
16. 17 Pham C, Watkin S, Middleton P, Maddern G. Laparoscopic
This study confirms that laparoscopic ventral incisional Ventral Hernia Repair: An Accelerated Systematic Review.

intraperitoneal onlay mesh hernia repair is associated withless Adelaide, South Australia: Australian Safety and Efficacy Register

severe complications, equivalent recurrence rates, and shorter of New Interventional Procedures–Surgical; 2004. ASERNIP-S
hospital stays when compared with open repair. It further report 41.
validates the use of the laparoscopic approach. 17. Heartsill L, Richards ML, Arfai N et al. Open Rives-Stoppa
ventral hernia repair made simple successful but not for everyone.
Hernia. 2005;9:162-66.
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