alexa Ventral Hernia Repair by Laparoscopic Approach, how to do it
[Jurnalul de Chirurgie]
ISSN: 1584-9341

Journal of Surgery
Open Access

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Ventral Hernia Repair by Laparoscopic Approach, how to do it

R Moldovanu*

Department of Surgery and Oncology, Les Bonnettes Hospital, Arras, France

Department of Surgery, University of Medicine and Pharmacy “Gr. T. Popa” Iaşi, Romania

*Corresponding Author:
Radu Moldovanu MD, PhD
Les Bonnettes Hospital, Arras, France
Department of Surgery and Oncology, 2 rue Dr. Forgeois
BP 20990, 62012, Arras, France
Tel: +33 (0) 3 21 15 43 88
Fax: +33 (0) 3 21 60 22 58
E-mail: [email protected]

Received date: October 29, 2013; Accepted date: November 20, 2013; Published date: May 15, 2014

Citation: Moldovanu R (2014) Ventral Hernia Repair by Laparoscopic Approach, How to do it. Journal of Surgery [Jurnalul de Chirurgie] 10:23:97-99. doi: 10.7438/1584-9341-10-1-23

Copyright: © 2014 Moldovanu R. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

Background: Laparoscopic approach for ventral hernias is associated with decreased hospital stay, reduced risk of infection and low recurrence rate compared with the open repair techniques. However, these good outcomes depend of several surgical techniques related key points. Aim: The aim of this paper is to present and highlight these “critical” key points. Method: The paper presents the procedure in a step-by-step manner; operative room set-up, peritoneal access and trocars placement, abdominal wall defect exploration, accurate mesh placement with a minimum 4 to 5 cm mesh overlap of the hernia defect and an adequate mesh fixation. The different key points as mesh insertion and unrolling as well as mesh placement and fixation are highlighted. Several data from literature were also discussed. Conclusion: The laparoscopic ventral hernia repair is a feasible and safe procedure. The respect of procedure’s “critical” key points allows the best outcomes in term of hospital stay, postoperative pain and morbidity

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