William Tobler, Jr., MD, University of Pittsburgh, PA and Kamal Itani, MD, Boston University and Harvard Medical School, Boston MA, discuss the patient- and hernia-related factors and technical considerations that contribute to the success or failure of these procedures in the article "Current Status and Challenges of Laparoscopy in Ventral Hernia Repair."
Relevant patient factors may include obesity, smoking, diabetes, cirrhosis, and cardiopulmonary disease. Hernia factors involve the size, location, and characteristics of the defect and whether it is recurrent. The authors also describe the types of mesh used, location of the mesh, and techniques for mesh fixation, as well as common complications and the use of robotic surgical approaches and other future technology.
"Laparoscopic ventral hernia repair is not free of complication and recurrence is a real possibility," says Editor-in-Chief P. Marco Fisichella, MD, MBA, Harvard Medical School, Brigham and Women's Hospital, Boston VA Healthcare System, Boston, MA. "Tobler and Itani explore the risk factors associated with this operation and highlight the concrete evidence-based indications and contraindications of the laparoscopic approach."
Source: Mary Ann Liebert, Inc., Publishers
Article Bibliographic Information:
Current Status and Challenges of Laparoscopy in Ventral Hernia Repair
Tobler William D. Jr. and Itani Kamal M.F.. Journal of Laparoendoscopic & Advanced Surgical Techniques. April 2016