Hybrid Technique for Abdominal Wall Hernia Repair: Description and Early Results

TL;DR

A new hybrid surgical method for repairing abdominal hernias shows promising early results with no recurrences in 67 patients.

Contribution

A novel hybrid surgical technique for ventral hernia repair is described and evaluated for its clinical outcomes.

Findings

67 patients underwent hybrid hernia repair with no reported recurrences.

The majority of hernias were umbilical or paraumbilical, with a median defect size of 5.4 cm.

The median operative time was 67 minutes, and the procedure combined laparoscopic and open techniques.

Abstract

Objective

Ventral hernia repair is a widely practiced surgical procedure worldwide. The objective of this paper is to evaluate and analyze the results of a hybrid approach for treating ventral hernias.

Methods

All patients with clinically and radiologically proven ventral hernia underwent hybrid laparoscopic ventral hernia repair at Princess Royal University Hospital, London, United Kingdom using a retrospective approach with the same surgical team. Large defects >10 cm, inguinal hernia, para-stomal hernia, incarcerated patients, and spigelian hernia were excluded. We utilized the laparoscopic approach for the dissection and isolation of the sac and used the port site for the delivery of mesh into the abdominal cavity.

Results

Our study comprises 67 patients, with 39 males (58.2%) and 28 females (41.8%). The median age in our study group was 41 years (range: 18-65 years). The median BMI was 38 kg/m2 (range: 24-52 kg/m2). The majority of the cases were umbilical or paraumbilical hernias (n = 46). The median defect size in our study was 5.4 cm (range: 2-10 cm). The median operative time was 67 minutes. We have not encountered any recurrences in this group.

Conclusion

This hybrid approach combines the advantages of both the open and laparoscopic approaches.

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