Authors: Erica R Podolsky Angela Mouhlas Andrew S Wu Alexander E Poor Paul G Curcillo
Publish Date: 2010/01/01
Volume: 24, Issue: 7, Pages: 1557-1561
Abstract
Laparoscopic ventral hernia repair has been demonstrated to be an acceptable and successful technique Aside from similar albeit fewer complications compared to open hernia repair the laparoscopic technique has the additional complication of port site hernia to its followup criteria Our initial experience with reduced port surgery in hernias was described as a twoport onestitch repair technique in 2002 We initially applied our Single Port Access SPA™ technique to ventral hernia repairs and reported it at the American Hernia Society meeting in 2008 Now we present the first 30 cases some with 6–24month followupThe charts of 30 patients undergoing surgery for primary and recurrent ventral hernias employing the SPA technique were reviewed The SPA technique was applied through a 10–16cm incision remote from and lateral to the hernia location in the abdominal wall Polypropylenebased coated mesh and nonfascial fixation were used in all casesAll procedures were completed via the SPA technique Operative time length of stay and estimated blood loss were acceptable The size of mesh placed ranged from 81 to 500 cm2 Postoperative seromas were observed and all resolved spontaneously There have been no wound infections or port site hernias during the 6–24month followup period There have been no recurrent hernias at the primary site
Keywords: