AI Article Synopsis
- Laparoscopic ventral hernia repair is a minimally invasive technique that shows lower recurrence rates compared to open surgery, but it is still surrounded by debates regarding its procedures and effectiveness.
- There are controversies related to patient selection, technical practices (like creating pneumoperitoneum, adhesiolysis, and mesh application), and postoperative complications such as seroma formation.
- The article seeks to clarify these controversies and establish guidelines based on the experiences of experienced surgeons in the field.
Article Abstract
Laparoscopic ventral hernia repair is currently the subject of intense debate, even though it provides a series of advantages over open surgery and is feasible and safe. Various studies have shown this technique to be as effective as open repair with a lower recurrence rate. Despite the excellent results of laparoscopic repair of ventral hernias, there are numerous controversies associated with this procedure. These controversies concern the indications and contraindications of the procedure, and technical aspects such as how to create the pneumoperitoneum, perform adhesiolysis, manage the hernia sac, and insert and fix the mesh to the anterior abdominal wall. Also controversial are outcome, complications related to postoperative seroma, and which type and size of mesh should be used. The present article aims primarily to address many of these issues, based on the experience of distinct surgeons with expertise in this approach, in order to provide data to establish a consensus on how laparoscopic ventral hernia repair should be performed.
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| http://dx.doi.org/10.1016/s0009-739x(05)70922-2 | DOI Listing |
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