Description

This video demonstrate Laparoscopic Incisional Hernia With Massive Adhesion Laparoscopic Repair by Two Ports by Dr R K Mishra at World Laparoscopy Hospital. The difference between the open and laparoscopic approaches consists of the access to and exposure of the defect. In the open procedure, the abdominal wall is incised over the defect. The disruption of surrounding tissue can lead to devascularization. When large incisions are employed, a higher incidence of seromas, hematomas, and wound infections has been reported. Although technically challenging, laparoscopy can be used to evaluate other defects or even synchronous inguinal hernias. However, the laparoscopic approach has been criticized for not resecting the hernia sac and not restoring the anatomy, thereby allowing the persistence of abdominal bulging and an abdominal wall that is mechanically unstable and has uncoordinated muscles. In addition, placement of a mesh over the defect leads to seroma formation in a large number of patients.