Outcomes of incisional hernia using laparoscopic sutured abdominal wall reconstruction

Tran Ngoc Dung, Nguyen Duc Phan, Nguyen Ngoc Anh, Luu Quang Dung, Nguyen Thi Thu Vinh, Nguyen Tu Anh, Nguyen Quoc Van, Hoang Ngoc Ha, Truong Van Cuong

Nội dung chính của bài viết

Tóm tắt

Incisional hernia (IH) is a common condition after major abdominal surgeries. To date, surgery particularly laparoscopic techniques is the primary treatment, offering several advantages. This study aims to describe the surgical technique and evaluate outcomes of laparoscopic sutured abdominal wall reconstruction for IH at Hanoi Medical University Hospital. A retrospective descriptive study was conducted on 11 patients treated from 2019 to 2024. The male-to-female ratio was 3:8, with a mean age of 57.4 ± 12.1 years old (range: 41 - 79 years old). The main symptom prompting medical consultation was the appearance of an abdominal mass at the site of a previous surgical incision, with no case of strangulation complications. The mean hernia defect width was 6.2 ± 1.8cm with the largest measuring 10cm and the smallest 4cm. The mean operative time was 69.1 ± 36.6 minutes (range: 30 - 120 minutes), with no recorded intraoperative complication. The average postoperative hospital stay was 1.8 ± 0.98 days (range: 1 - 4 days). No case of chronic pain or recurrence were reported during the follow-up period of 18 - 24 months. Laparoscopic sutured abdominal wall reconstruction for the treatment of IH is a safe and effective surgical method with minimal complications and a low recurrence rate.

Chi tiết bài viết

Tài liệu tham khảo

1. Omar I, Zaimis T, Townsend A, et al. Incisional Hernia: A Surgical Complication or Medical Disease? Cureus. 15(12):e50568. doi:10.7759/cureus.50568
2. Luijendijk RW, Hop WCJ, Tol MP van den, et al. A Comparison of Suture Repair with Mesh Repair for Incisional Hernia. New England Journal of Medicine. 2000;343(6):392-398. doi:10.1056/NEJM200008103430603
3. Zhang Y, Zhou H, Chai Y, et al. Laparoscopic Versus Open Incisional and Ventral Hernia Repair: A Systematic Review and Meta-analysis. World Journal of Surgery. 2014;38(9):1. doi:10.1007/s00268-014-2578-z
4. Andersen LPH, Klein M, Gögenur I, et al. Long-term recurrence and complication rates after incisional hernia repair with the open onlay technique. BMC Surgery. 2009;9(1):6. doi:10.1186/1471-2482-9-6
5. Henriksen NA, Jensen KK. Trends in Use of Laparoscopic Intraperitoneal Onlay Mesh for Ventral Hernia Repair. JAMA Surgery. 2024;159(1):109-111. doi:10.1001/jamasurg.2023.5623
6. Zheng W, Zhu Z, Zhang C, et al. Application of the novel enhanced transabdominal preperitoneal (ETAP) technique for laparoscopic suprapubic incisional hernia repair. Surg Today. 2020;50(5):525-530. doi:10.1007/s00595-019-01879-6
7. Chelala E, Baraké H, Estievenart J, et al. Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience. Hernia. 2016;20(1):101-110. doi:10.1007/s10029-015-1397-y
8. Breuing K, Butler CE, Ferzoco S, et al. Incisional ventral hernias: Review of the literature and recommendations regarding the grading and technique of repair. Surgery. 2010;148(3):544-558. doi:10.1016/j.surg.2010.01.008
9. Burger JWA, Lange JF, Halm JA, et al. Incisional Hernia: Early Complication of Abdominal Surgery. World Journal of Surgery. 2005;29(12):1658. doi:10.1007/s00268-005-7929-3
10. Köckerling F, Scheuerlein H, Schug-Pass C. Treatment of Large Incisional Hernias in Sandwich Technique - A Review of the Literature. Front Surg. 2018;5:37. doi:10.3389/fsurg.2018.00037
11. Bower CE, Reade CC, Kirby LW, et al. Complications of laparoscopic incisional–ventral hernia repair: the experience of a single institution. Surg Endosc. 2004;18(4):672-675. doi:10.1007/s00464-003-8506-1
12. Muysoms FE, Miserez M, Berrevoet F, et al. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407-414. doi:10.1007/s10029-009-0518-x