J Minim Invasive Surg.  2018 Mar;21(1):5-13. 10.7602/jmis.2018.21.1.5.

Incisional and Ventral Hernia Repair

Affiliations
  • 1Department of Surgery, Chung Hospital, Seoul, Korea. younbchoi@gmail.com
  • 2Department of Surgery, Ulsan University College of Medicine and Asan Medical Center, Seoul, Korea.

Abstract

Incisional or ventral hernia is a very common multifactorial disease that requires surgery to prevent complications, including pain, discomfort, bowel obstruction, incarceration, and strangulation. To perform herniorrhaphy, it is essential to understand the pathogenesis of hernia, the anatomy and physiology of the abdominal wall, and surgical techniques. Several repair methods are available, including open suture repair, open mesh repair, the component separation technique, and tissue expansion assisted closure. Currently, laparoscopic incisional or ventral hernia repair is commonly used with the major advantage being the lower recurrence and all defects can be addressed at the time of surgery as well as reduced postoperative pain and length of hospital stay. On the other hand, to do it properly, a full understanding and appropriate selection of mesh and management of probable complications, such as seroma, bowel injury, enteric fistula, and recurrence, is essential. Therefore, the surgeon and the techniques used are of paramount importance in the repair of incisional ventral hernias.

Keyword

Incisional hernia; Ventral hernia; Laparoscopic hernia repair

MeSH Terms

Abdominal Wall
Fistula
Hand
Hernia
Hernia, Ventral*
Herniorrhaphy
Incisional Hernia
Length of Stay
Pain, Postoperative
Physiology
Recurrence
Seroma
Sutures
Tissue Expansion
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