title: Laparoscopic sutured closure with mesh reinforcement of incisional hernias.
abstract: BACKGROUND
  This study reports medium-term outcomes of laparoscopic incisional hernia repair.
  
  
  METHODS
  Laparoscopic repair was performed on 721 patients with ventral hernia. After adhesiolysis the defect was closed with no. 1 polyamide suture or loop. This was followed by reinforcement with intraperitoneal onlay repair with a bilayered mesh.
  
  
  RESULTS
  Laproscopic repair of ventral hernia was performed on 613 females and 108 males. Of these, 185 (25.7%) were recurrent incisional hernias of which 93 had undergone previous open hernioplasty. The remaining 92 patients had previously undergone sutured repair. The average operating time was 95 min (range 60-115 min). Conversion rate was 1%. The average hospital stay was 2 days (range 1-6 days). The commonest complication was seroma formation at the incisional hernia site. Full-thickness bowel injury occurred in two patients. The mean follow-up period was 4.2 years (range 3 months to 10 years). Recurrence was noted in four (0.55%) patients.
  
  
  CONCLUSIONS
  Laparoscopic repair is well-tolerated and can be accomplished with minimum morbidity in ventral hernias.
authors.affiliation: Department of GI and Minimally Invasive Surgery, Gem Hospital, 45 A, Pankaja Mill Road, Ramanathapuram, Coimbatore, 641045, Tamilnadu, India.
authors.forename: C
authors.initials: C
authors.lastname: Palanivelu
authors.forename: K V
authors.initials: KV
authors.lastname: Jani
authors.forename: P
authors.initials: P
authors.lastname: Senthilnathan
authors.forename: R
authors.initials: R
authors.lastname: Parthasarathi
authors.forename: M V
authors.initials: MV
authors.lastname: Madhankumar
authors.forename: V K
authors.initials: VK
authors.lastname: Malladi
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D019919:Prosthesis Implantation / Q000295:instrumentation*; D055502:Secondary Prevention; D013526:Surgical Mesh; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome