Laparoscopic umbilical herniorrhaphy

Ninh T. Nguyen, Steven L. Lee, Kathrin L Troppmann, Gabriela L. Furdui, Hung S Ho

Research output: Contribution to journalArticle

19 Scopus citations

Abstract

Background: Laparoscopic technique is an alternative approach to ventral hernia repair. This study evaluated the feasibility of performing umbilical hernia repair using a single 5-mm trocar technique. Patients and Methods: During February 1999 to November 1999, we performed laparoscopic umbilical hernia repair in 16 consecutive patients. All operations were performed under general anesthesia. One 5-mm port was used to visualize the defect. A second 5-mm port was inserted only if there was incarcerated omentum requiring reduction. The Endo Close® was inserted through a 2-mm incision made directly over the hernia to perform transabdominal closure of the defect using nonabsorbable suture. Results: The mean size of the umbilical hernia defects was 1.2 cm ± 0.4 (range 1.0-2.0 cm). All operations were completed laparoscopically with no intraoperative or postoperative complications. The mean operative time was 35 ± 15 minutes (range 21-75 min). All cases were performed in an outpatient setting. There have been no recurrences at a mean follow-up of 5.9 months. Conclusions: Laparoscopic umbilical herniorrhaphy is safe and technically feasible. Its potential advantages, such as a lower rate of recurrence, will need to be validated with longer follow-up.

Original languageEnglish (US)
Pages (from-to)151-153
Number of pages3
JournalJournal of Laparoendoscopic and Advanced Surgical Techniques - Part A
Volume10
Issue number3
StatePublished - Jun 2000

ASJC Scopus subject areas

  • Surgery

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