Single incision laparoscopic ventral hernia repair
Bower, Curtis E.; Love, Katie M.
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.
Bower, Curtis E., & Love, Katie M.. (January 2011). Single incision laparoscopic ventral hernia repair. Journal of the Society of Laparoendoscopic Surgeons, (15:2), p.165-168. Retrieved from http://hdl.handle.net/10342/7997
Bower, Curtis E., and Love, Katie M.. "Single incision laparoscopic ventral hernia repair". Journal of the Society of Laparoendoscopic Surgeons. 15:2. (165-168.), January 2011. October 24, 2020. http://hdl.handle.net/10342/7997.
Bower, Curtis E. and Love, Katie M., "Single incision laparoscopic ventral hernia repair," Journal of the Society of Laparoendoscopic Surgeons 15, no. 2 (January 2011), http://hdl.handle.net/10342/7997 (accessed October 24, 2020).
Bower, Curtis E., Love, Katie M.. Single incision laparoscopic ventral hernia repair. Journal of the Society of Laparoendoscopic Surgeons. January 2011; 15(2) 165-168. http://hdl.handle.net/10342/7997. Accessed October 24, 2020.