Table of Contents
ISRN Minimally Invasive Surgery
Volume 2012, Article ID 906405, 4 pages
http://dx.doi.org/10.5402/2012/906405
Clinical Study

Laparoscopic Umbilical Hernia Repair: Technique Paper

1Department of General Surgery, Victoria Hospital, Bangalore Medical College and Research Institute, 128 Vijay Doctors Colony, Bangalore 560002, India
2Konanakunte Bangalore, Karnataka, Pin 560062, India

Received 12 July 2012; Accepted 23 August 2012

Academic Editors: A. S. Al-Mulhim, C.-G. Ker, and A. I. Mitre

Copyright © 2012 V. Abhishek et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. Laparoscopic umbilical hernia repair has largely replaced open method. The purpose of this study was to document the laparoscopic umbilical hernia repair using two port, combined herniorrhaphy with intraabdominal mesh fixation with transabdominal absorbable suture technique and demonstrate that it is feasible, efficient, and safe. Methods. Thirty-two patients with umbilical hernia underwent laparoscopic repair by combined herniorrhaphy and intraabdominal mesh. Two-port technique was used and the umbilical defect was closed using transabdominal PDS suture, composite polypropylene, and PTFE mesh was placed intra-bdominally and fixed to abdominal wall using transabdominal PDS suture. Results. Thirty-two patients underwent laparoscopic repair. The operating time ranged from 45 min to 100 min (mean 64 min). Early postoperative complication was seen in five patients with two having ileus for 4 days and one patient each developed urinary retention, wound infection and seroma. Late postoperative complication was seen in 6 patients with five complaining of persistent abdominal pain which resolved without treatment and one case of keloids at port sites. None of the patients developed chronic pain or had recurrence over the follow-up period. Conclusion. Laparoscopic umbilical hernia repair with combined herniorrhaphy and intraabdominal mesh fixation using absorbable sutures offers an efficient, safe, and effective repair for umbilical hernia.