Initial experience of laparoscopic incisional hernia repair

Razman Jarmin, S. Shaharin, M. R. Lukman, N. Sukumar, A. Y. Jasmi

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Laparoscopic repair of ventral aad incisional hernia has become increasingly popular as compared to open repair, like procedure has the advantages of minimal access surgery, reduction of post operative pain and the recurrence rate. A prospective study of laparoscopic incisional hernia repair was performed in our center from August 2002 to April 2004, Eighteen cases (n: 18) were performed during the study period. Fifteen cases (n: 15) had open hiernia repair previously. Sixteen patients (n: 16) had successful repair of the hernia with the laparoscopic approach and two cases were converted to open repair. The mean hernia defect size was 156cm2. There was no intraoperative or immediate postoperative complication. The mean operating time was 100 ± 34 minutes (75 - 180 minutes). The postoperative pain was graded as mild to moderate according to visual analogue score The mean day of discharge after surgery was two days (1-3 days). During follow up, three patients (16.7%) developed seroma at the hernia sac which was resolved with conservative management after three weeks One (5 6%) patient developed recurrence six months after surgery. In conclusion, laparoscopic repair of incisional hernia particularly recurrent hernia has been shown to be safe and effective in our centre However, careful patient selection and acquiring the necessary advanced laparoscopic surgical skills coupled with the proper use of equipment are mandatory before embarking on this procedure.

Original languageEnglish
Pages (from-to)142-146
Number of pages5
JournalMedical Journal of Malaysia
Volume61
Issue number2
Publication statusPublished - Jun 2006

Fingerprint

Herniorrhaphy
Hernia
Seroma
Recurrence
Postoperative Pain
Patient Selection
Prospective Studies
Pain
Equipment and Supplies
Incisional Hernia

Keywords

  • Incisional hernia
  • Laparoscopic repair
  • Mesh repair

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Jarmin, R., Shaharin, S., Lukman, M. R., Sukumar, N., & Jasmi, A. Y. (2006). Initial experience of laparoscopic incisional hernia repair. Medical Journal of Malaysia, 61(2), 142-146.

Initial experience of laparoscopic incisional hernia repair. / Jarmin, Razman; Shaharin, S.; Lukman, M. R.; Sukumar, N.; Jasmi, A. Y.

In: Medical Journal of Malaysia, Vol. 61, No. 2, 06.2006, p. 142-146.

Research output: Contribution to journalArticle

Jarmin, R, Shaharin, S, Lukman, MR, Sukumar, N & Jasmi, AY 2006, 'Initial experience of laparoscopic incisional hernia repair', Medical Journal of Malaysia, vol. 61, no. 2, pp. 142-146.
Jarmin R, Shaharin S, Lukman MR, Sukumar N, Jasmi AY. Initial experience of laparoscopic incisional hernia repair. Medical Journal of Malaysia. 2006 Jun;61(2):142-146.
Jarmin, Razman ; Shaharin, S. ; Lukman, M. R. ; Sukumar, N. ; Jasmi, A. Y. / Initial experience of laparoscopic incisional hernia repair. In: Medical Journal of Malaysia. 2006 ; Vol. 61, No. 2. pp. 142-146.
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