Advantages and faults of laparoscopic operations in treatment of ventral hernias

Keywords: laparoscopic hernioplasty; ventral hernias; laparoscopic separational hernioplasty, the net implants; function of muscles o anterior abdominal wall.


Objective. To conduct a comparison analysis of modern open, classic laparoscopic and separation laparoscopic hernioplastic procedures in treatment of ventral and postoperative ventral hernias.

Materials and methods. During 2009 - 2019 yrs on the base of Odessa Regional Clinical Hospital 193 patients, suffering ventral and postoperative ventral hernias were operated. Depending on the hernioplasty method applied all the patients were divided on two groups. In the first one 100 patients were exposed to laparoscopic hernioplasty, including 91 patients - the standard laparoscopic operations. In the second group in 93 patients open hernioplasty was performed.

Results. In the first group while using a standard laparoscopic procedures of hernioplasty the average duration of operation have constituted (114.0 ± 7.4) min, recurrence was revealed in 7 patients with large hernias (W3). In the second group the operation duration have constituted (130.0 ± 6.1) min, and recurrence was revealed in 8 patients.

Conclusion. The operation method choice ought to be individually adjusted, taking into account the patient general status and age, presence of concurrent pathology, as well as the hernia defect dimensions and localization, in particular.

Author Biographies

V. V. Grubnik, Odessa National Medical University

Grubnik Volodymyr V. - MD, DSci (Med), Professor,
Head of Department of Surgery №1,
Odessa National Medical University
26 Zabolotnogo Str., 65025, Odesa, Ukraine
+38 094 947 28 29

R. P. Nikitenko, Odessa National Medical University

Nikitenko Raisa P. - PhD (Med),
Docent of Department of Surgery №1,
Odessa National Medical University
26 Zabolotnogo Str., 65025, Odesa, Ukraine
+38 096 236 33 03

O. M. Stepanovichus, Odessa National Medical University

Stepanovichus Olena M- PhD (Med),
Docent of Department obstetrics and gynecologe №1,
Odessa National Medical University
26 Zabolotnogo Str., 65025, Odesa, Ukraine
+38 097 939 47 47

K. O. Vorotyntseva, Odessa National Medical University

Vorotyntseva Kseniya O. - PhD (Med),
Assistant of Department of Surgery №1, Odessa National Medical University
35 Prospect Nebesnoi Sotni Str., 65121, Odesa, Ukraine
+38 093 985 59 96


LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surgical Laparoscopy Endoscopy. 1993;3(1):39-41. PMID: 8258069

Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)-part 1. Surgical endoscopy. 2014;28(1):2-29. doi: 10.1007/s00464-013-3170-6.

Ramshaw B, Forman B, Moore K, Heidel E, Fabian M, Mancini G, et al. Real-world clinical quality improvement for complex abdominal wall reconstruction. Surg Technol Int. 2017;30:155-64. PMID: 28085989.

Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza Zahiri H, et al. A novel approach using the enhancedview totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surgical Endoscopy and Other Interventional Techniques. 2018;32(3):1525-32. doi: 10.1007/s00464-017-5840-2.

Schwarz J, Reinpold W, Bittner R. Endoscopic mini/less open sublay technique (EMILOS) - a new technique for ventral hernia repair. Langenbeck’s Arch Surg. 2017;402(1):173-80. doi: 10.007/s00423-016-1522.0.

Forte A, Zullino A, Manfredelli S, Montalto G, Pastore P, Bezzi M. Rives technique is the gold standard for incisional hernioplasty. An institutional experience. Ann Ital Chir. 2011;82(4):313-7. PMID: 21834484.

Criss CN, Petro CC, Krpata DM, Seafler CM, Lai N, Fiutem J. Functional abdominal wall reconstruction improves core physiology and quality-of-life. Surgery. 2014;156(1):176-82. doi: 10.1016/j.surg.2014.04.010

Ramirez OM, Ruas E, Dhillon AL. Components separation method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990;86(3):519-26. PMID: 2143588. doi: 10.1097/00006534-199009000-00023.

Kroese LF, Gillion JF, Jeekel J, Kleinrensink GJ, Lange JF, Hernia-Club Members. Primary and incisional hernias are different in terms of patient characteristics and postoperative complications—A prospective cohort study of 4565 patients. Int J Surg. 2018;51:114-9. doi: 10.1016/j.ijsu 2018.01.010.

Lambrecht JR, Vakt Skjold A, Trondsen E, Oyen OM, Rainertsen O. Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure. Hernia. 2015;19(3):479-86.. doi: 10.1007/s10029-015-1345-x.

Ganesh Kumar N, Faqih AA, Feng MP, Miller RS, Pierce RA, Sharp KW, et al. Using quality improvement principles to enhance long-term completion of patient-reported outcomes after ventral hernia repair. J Am Coll Surg. 2017 Feb;224(2):172-9. doi: 10.1016/j.jamcollsurg.2016.10.031.

Novitsky YW. Posterior component separation via transversus abdominis muscle release: the TAR procedure. In: Novitsky YW (editor) Hernia surgery. Springer International Publishing, Cham; 2016. 117-35.

How to Cite
Grubnik, V. V., Nikitenko, R. P., Stepanovichus, O. M., & Vorotyntseva, K. O. (2020). Advantages and faults of laparoscopic operations in treatment of ventral hernias. Klinicheskaia Khirurgiia, 87(3-4), 35-39.
General Problems of Surgery

Most read articles by the same author(s)