Our Summary

Ventral hernias, which are a type of abdominal hernia, are usually treated with either minimally invasive laparoscopic surgery or more invasive open surgery, depending on their size. This research, however, looked at a combined approach for medium to large hernias. Data was gathered from 44 hernia repairs using this hybrid method from 2012 to 2020, and the results were promising.

The procedure involved using laparoscopic methods to access the hernia and reduce its contents, then making a small incision directly over the hernia to place a polyester mesh inside the abdomen before closing the defect with a suture. The abdomen was then inflated again and the mesh secured in place.

The study found that 86% of patients were able to go home within two days of their operation. Just four patients (9%) suffered a recurrence of their hernia during the study period. Minor complications occurred in 18% of patients, including post-operative wound infection, development of a seroma (a pocket of clear serous fluid), and significant wound haematoma (swelling of blood within the tissues).

The researchers concluded that this hybrid technique can be safely performed and offers a good alternative treatment option for medium-sized ventral hernias.

FAQs

  1. What is the hybrid method used for ventral hernia repairs?
  2. What is the rate of recurrence for hernias treated with the hybrid method?
  3. What are the potential complications associated with the hybrid method of hernia repair?

Doctor’s Tip

A doctor might tell a patient that laparoscopic hernia repair has fewer complications, less pain, and a quicker recovery time compared to traditional open surgery. Patients should follow their post-operative instructions carefully to ensure proper healing and minimize the risk of complications. It’s important to listen to your body and report any unusual symptoms or concerns to your healthcare provider promptly.

Suitable For

Patients with medium to large ventral hernias are typically recommended laparoscopic hernia repair using a hybrid technique. This approach combines laparoscopic methods with a small incision to place a mesh inside the abdomen, offering a safe and effective treatment option for these patients.

Timeline

  • Pre-surgery: Patients would typically undergo a consultation with a surgeon to discuss their hernia and treatment options. They may undergo various tests such as imaging studies to determine the size and location of the hernia.

  • Day of surgery: Patients would arrive at the hospital or surgical center and undergo the laparoscopic hernia repair procedure. The surgery usually lasts between 1-2 hours, and patients are placed under general anesthesia.

  • Post-surgery: Patients may experience some pain and discomfort in the days following the surgery, but this can usually be managed with pain medication. They may also have restrictions on activities such as lifting heavy objects for a few weeks.

  • Follow-up appointments: Patients would typically have follow-up appointments with their surgeon to monitor their healing and recovery. They may also be advised on exercises and activities to help strengthen the abdominal muscles and prevent future hernias.

Overall, patients can expect a relatively quick recovery and low risk of complications with laparoscopic hernia repair compared to open surgery.

What to Ask Your Doctor

Some questions a patient should ask their doctor about laparoscopic hernia repair include:

  1. What are the benefits of laparoscopic hernia repair compared to open surgery?
  2. What is involved in the hybrid approach for medium to large hernias, and why is it recommended for my specific case?
  3. What are the potential risks and complications associated with laparoscopic hernia repair?
  4. How long is the recovery period after this type of surgery, and what can I expect during the recovery process?
  5. Will I need to follow any specific post-operative care instructions or restrictions?
  6. How likely is it that my hernia will recur after this type of surgery?
  7. Are there any alternative treatment options for my hernia, and how do they compare to laparoscopic repair?
  8. What is the success rate of this hybrid technique for ventral hernias, and what factors may affect the outcome of the surgery?
  9. How experienced are you in performing laparoscopic hernia repairs, and what is your success rate with this procedure?
  10. Are there any long-term implications or considerations I should be aware of after undergoing laparoscopic hernia repair?

Reference

Authors: Bell-Allen N, Swift K, Sontag NJ, O’Rourke N. Journal: ANZ J Surg. 2022 Oct;92(10):2529-2533. doi: 10.1111/ans.17508. Epub 2022 Feb 9. PMID: 35142004