Sánchez ARA, Villasana ÁT, Luna MJ,Cruz ZA, Cuevas OVJ

Language: Spanish
References: 5
Page: 107-110
PDF size: 449.17 Kb.

ABSTRACT

Ventral and incisional hernias are among the main conditions that the surgeon must face in the day to day. The laparoscopic approach has revolutionized the surgical treatment because it generates less trauma and faster recovery, but its results are still controversial regarding relapse. We report the case of a patient with a recurrent ventral hernia which was reoperated by our service using a transfascial closure of the defect with nonabsorbable suture and placement of a polypropylene mesh coated with omega 3 fatty acids, using the intraperitoneal technique (intraperitoneal onlay mesh plus). Detailed analysis of the basic principles of hernia repair applied to new knowledge in the laparoscopic approach —as is the transfascial closure of the defect and proper placement of the mesh— increases the chances of success of the surgery and decreases the risk of recurrence. Conclusions: The redo laparoscopic ventral hernia surgery is a complex procedure and requires a comprehensive approach by the laparoscopic surgeon to ensure the success of the surgery.

REFERENCES

1. Tobler WD Jr, Itani KM. Current status and challenges of laparoscopy in ventral hernia repair. J Laparoendosc Adv Surg Tech A. 2016; 26: 281-289.

2. Nguyen DH, Nguyen MT, Askenasy EP, Kao LS, Liang MK. Primary fascial closure with laparoscopic ventral hernia repair: systematic review. World J Surg. 2014; 38: 3097-3104.

3. Chelala E, Debardemaeker Y, Elias B, Charara F, Dessily M, Allé JL. Eighty-five redo surgeries after 733 laparoscopic treatments for ventral and incisional hernia: adhesion and recurrence analysis. Hernia. 2010; 14: 123-129.

4. Celio AC, Kasten KR, Pofahl WE 2nd, Pories WJ, Spaniolas K. Causes of readmission after laparoscopic and open ventral hernia repair: Identifying failed discharges and opportunities for action. Surgery. 2016; 160: 413-417.

5. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH et al. International Endohernia Society (IEHS). Guidelines for laparoscopic treatment of ventral and incisional abdominal Wall hernias (International Endohernia Society (IEHS). Surg Endosc. 2014; 28: 2-29.