Alumi Laparoscopic Discussion Board

Ventral Hernia Repair
Discussion in 'All Categories' started by Thameem Ansari S - Sep 16th, 2016 6:02 am.
Thameem Ansari S
Thameem Ansari S

We had patient with ventral hernia in our college hospital. We did a Lap ventral hernia repair. Since the mesh ( Dual mesh ) which we purchased was small we closed the defect in laparoscopy and the placed the Onlay mesh. The patient went home without any complication and is on follow up.

My questions is:

1 ) Is it advisable to close or approximate the defect so that we can place a smaller mesh ...

2 ) If we just place the mesh without closing the defect wont the defect be still palpable from the abdomen.
re: Ventral Hernia Repair by Dr R K Mishra - Sep 16th, 2016 6:31 am
Dr R K Mishra
Dr R K Mishra
Dear Dr Ansari

For small ventral hernia the primary repair of defect is advisable but more than 2 cm hernia, always tension free repair with adequate size of mesh is better. Mesh size should be ideally 8-12 + Size of defect. Once fibrosis will develop defect will not be palpable from outside and excess skin will retract. In case of bad scarred skin of incisional hernia excess of the skin should be removed after 3 month.

With regard

R K Mishra
re: Ventral Hernia Repair by Dr. Thameem Ansari - Sep 16th, 2016 1:09 pm
Dr. Thameem Ansari
Dr. Thameem Ansari
thankyou sir .....
re: Ventral Hernia Repair by Dr Suresh Ram - Sep 19th, 2016 8:17 am
Dr Suresh Ram
Dr Suresh Ram
Can we treat small hernia without mesh by laparoscopic surgery.
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