Complications of Laparoscopic Ventral Hernia Repair

Abstract

Background: Laparoscopic techniques are being used increasingly in the repair of ventral hernias and offer the potential benefits of a shorter hospital stay, decreased wound complications, and possibly a lower recurrence rate. Despite good results from high-volume centers, significant complications may occur with this approach and the morbidity of incisional hernia repair may be underestimated. Objective: To evaluate the outcome of laparoscopic ventral hernia repair as regard complications, post-operative pain, hospital stay, patient satisfaction and recurrence rate. Patients and methods: This was a prospective non-randomized study. Forty consecutive patients admitted at the Department of General Surgery, Aswan University, Egypt, with diagnosis of ventral and or incisional hernia in the period from July 2016 to December 2019 were enrolled. Results: Complication rate among the studied patients was found to be 30% (2 port site infection, 1 wound edge necrosis, 5 seroma, 3 ileus and 1 pneumonia). Mortality rate among our cases was found to be 0%. Recurrence rate showed that two cases developed recurrent hernia; one case after 6 months and the other case after 8 months. Success rate among this group was found to be 70 % of cases that passed without complications. Postoperative pain and patient satisfaction correlate significantly with clinical outcome. We found that patient satisfaction rate among our cases was 70%. Conclusion: Laparoscopic ventral hernia repair main advantages being, with less postoperative pain, shorter hospital stays, lower recurrence rate and lower postoperative complications.