Expert opinion on the basic surgical technique for laparoscopic ventral hernia repair

Laparoscopic ventral hernia repair is currently the subject of intense debate, even though it provides a series of advantages over open surgery and is feasible and safe. Various studies have shown this technique to be as effective as open repair with a lower recurrence rate. Despite the excellent re...

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Veröffentlicht in:Cirugia Española 2005-10, Vol.78 (4), p.214
Hauptverfasser: Morales-Conde, S, Abdel-Lah, A, Angoso-Catalina, F, Blasco, F, Feliu-Pala, X, Fernández-Lobato, R, González de Francisco, T, Guerrero Fernández-Marcote, J A, Martín-Gómez, M, Martínez-García, F, Morales-Méndez, S, Murillo, J, Oliva, H, Pina, J, Planellas, X, Robres, J, Rodero, D, Ruiz-Castillo, J, Serrantes-Gómez, A, Tovar-Martínez, J L, Tuca, Francesc, Utrera, A
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container_issue 4
container_start_page 214
container_title Cirugia Española
container_volume 78
creator Morales-Conde, S
Abdel-Lah, A
Angoso-Catalina, F
Blasco, F
Feliu-Pala, X
Fernández-Lobato, R
González de Francisco, T
Guerrero Fernández-Marcote, J A
Martín-Gómez, M
Martínez-García, F
Morales-Méndez, S
Murillo, J
Oliva, H
Pina, J
Planellas, X
Robres, J
Rodero, D
Ruiz-Castillo, J
Serrantes-Gómez, A
Tovar-Martínez, J L
Tuca, Francesc
Utrera, A
description Laparoscopic ventral hernia repair is currently the subject of intense debate, even though it provides a series of advantages over open surgery and is feasible and safe. Various studies have shown this technique to be as effective as open repair with a lower recurrence rate. Despite the excellent results of laparoscopic repair of ventral hernias, there are numerous controversies associated with this procedure. These controversies concern the indications and contraindications of the procedure, and technical aspects such as how to create the pneumoperitoneum, perform adhesiolysis, manage the hernia sac, and insert and fix the mesh to the anterior abdominal wall. Also controversial are outcome, complications related to postoperative seroma, and which type and size of mesh should be used. The present article aims primarily to address many of these issues, based on the experience of distinct surgeons with expertise in this approach, in order to provide data to establish a consensus on how laparoscopic ventral hernia repair should be performed.
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subjects Hernia, Ventral - surgery
Humans
Laparoscopy - methods
Postoperative Care
title Expert opinion on the basic surgical technique for laparoscopic ventral hernia repair
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