Alumi Laparoscopic Discussion Board

Is laparoscopic repair of ventral hernia the ideal approach for all patients?
Discussion in 'All Categories' started by Dr. Mahesh Thakur - May 17th, 2016 5:46 am.
Dr. Mahesh Thakur
Dr. Mahesh Thakur
Hi Friends

Is laparoscopic repair of ventral hernia the ideal approach for all patients? In my opinion "Laparoscopic ventral hernia repair is not free of complication and recurrence is a real possibility," Can we discuss explore the risk factors associated with this operation and highlight the concrete evidence-based indications and contraindications of the laparoscopic approach
re: Is laparoscopic repair of ventral hernia the ideal approach for all patients? by Dr. Vipul Rai - May 17th, 2016 5:57 am
#1
Dr. Vipul Rai
Dr. Vipul Rai
I think complication happens even in laparoscopic repair of ventral hernia. We should take care of patient with obesity, smoking, diabetes, cirrhosis, and cardiopulmonary disease. Hernia complication has also technical factors which in my opinion involve the size, location, and characteristics of the defect and whether it is recurrent. We should also give some importance to the types of mesh used, location of the mesh, and techniques for mesh fixation, as well as common complications and the use of robotic surgical approaches and other future technology.
re: Is laparoscopic repair of ventral hernia the ideal approach for all patients? by Dr R K Mishra - May 17th, 2016 6:21 am
#2
Dr R K Mishra
Dr R K Mishra
I am agree that any approach to hernia can be labeled as gold standard and results may vary depending on the type of procedure and each patient’s overall condition. Common advantages of laparoscopic repair include:

Less post-operative pain
Shortened hospital stay
Faster return to regular diet
Quicker return to normal activity
Less wound infections

The decision to perform the open procedure is a judgment decision should be made by you either before or during the actual operation. When at the time of doing complicated hernia surgery we feel that it is safest to convert the laparoscopic procedure to an open one we should immediately do that, this is not a complication, but rather sound surgical judgment. The decision to convert to an open procedure is strictly based on patient safety and your experience. As far as complication rate is concerned in my opinion it is far less than open surgery.
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