Laparoscopic cure of small ventral hernias with composite mesh

• Published in: Hernia : the journal of hernias and abdominal wall surgery Vol. 10; no. 5; pp. 414 - 418
• Main Authors: Johanet, H, Dabrowski, A, Hauters, P
• Format: Journal Article
• Language: English
• Published: France Springer Nature B.V 01-10-2006
• Subjects: Adult; Aged; Aged, 80 and over; Feasibility Studies; Female; Hernia, Ventral - surgery; Humans; Laparoscopy; Male; Middle Aged; Prospective Studies; Secondary Prevention; Seroma - prevention & control; Surgical Mesh
• ISSN: 1265-4906; 1248-9204
• DOI: 10.1007/s10029-006-0128-9

The use of mesh is recommended to reduce the rate of recurrence after the curing of ventral hernias.
A multicentre prospective trial was conducted to assess the laparoscopic cure of small ventral hernias with a composite mesh.
Around 222 patients entered the trial and received laparoscopic repair for ventral hernias of less than 5 cm. There was one conversion. The mean length of post-operative hospitalisation was 2.5 days. At 1 year, the recurrence rate was 2%. Two meshes were removed due to infection, 3% of the patients were using analgesics and 86.1% of the patients described no pain on EVA scoring.
The laparoscopic cure of small ventral hernias with composite mesh is efficient. Further technical progress is warranted to reduce the rate of seroma formation.