Single Incision Laparoscopic Ventral Hernia Repair
Author
Bower, Curtis E.; Love, Katie M.
Abstract
Background and Objectives:
Laparoscopic ventral hernia repair (LVH) requires several skin incisions for trocar placement. We have developed a single incision approach to LVH repair. The technique was introduced in clinical practice to any consenting patients who were candidates for a standard multi-port laparoscopic hernia repair. A consecutive series of patients was then followed to evaluate feasibility.
Methods:
Over an 8-month period, 14 patients (9 females, 5 males) underwent LVH repair by an academic surgeon. One of 2 access methods was used in each patient through a single 1.5-cm to 2-cm skin incision. One technique utilized two 5-mm ports with a temporarily placed 11-mm port for mesh insertion. The second technique utilized the SILS port (Covidien, Norwalk, CT). Standard or roticulating laparoscopic instruments were used with both techniques.
Results:
Range (mean) BMI: 23 to 59 (38), Age: 26 to 73 years (53), Duration: 37 to 87 minutes (57), Defect size: 1cm to 8cm (2), 3 with Swiss-cheese defect hernias. The procedure was successfully performed in all patients. No conversions to a multiple-port approach or to an open procedure were necessary. There were no mortalities, major complications, or recurrences during the mean follow-up period of 4 weeks.
Conclusion:
Single incision ventral hernia repair is technically feasible, effective, and reproducible. The technique is easy to master, and safe for any patient who is a candidate for laparoscopic ventral hernia repair. Further data collection with long-term follow-up will be needed to ensure equivalent outcomes. There will be demand for this approach by patients for cosmetic reasons, and it may serve as a bridge to natural orifice techniques.
Subject
Date
2011
Citation:
APA:
Bower, Curtis E., & Love, Katie M.. (January 2011).
Single Incision Laparoscopic Ventral Hernia Repair.
JSLS : Journal of the Society of Laparoendoscopic Surgeons,
15(2),
165-
168. Retrieved from
http://hdl.handle.net/10342/5856
MLA:
Bower, Curtis E., and Love, Katie M..
"Single Incision Laparoscopic Ventral Hernia Repair". JSLS : Journal of the Society of Laparoendoscopic Surgeons.
15:2. (165-168),
January 2011.
December 11, 2023.
http://hdl.handle.net/10342/5856.
Chicago:
Bower, Curtis E. and Love, Katie M.,
"Single Incision Laparoscopic Ventral Hernia Repair," JSLS : Journal of the Society of Laparoendoscopic Surgeons 15, no.
2 (January 2011),
http://hdl.handle.net/10342/5856 (accessed
December 11, 2023).
AMA:
Bower, Curtis E., Love, Katie M..
Single Incision Laparoscopic Ventral Hernia Repair. JSLS : Journal of the Society of Laparoendoscopic Surgeons.
January 2011;
15(2):
165-168.
http://hdl.handle.net/10342/5856. Accessed
December 11, 2023.
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