Retrospective Study
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jan 7, 2022; 10(1): 51-61
Published online Jan 7, 2022. doi: 10.12998/wjcc.v10.i1.51
Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair
Shuo Yang, Ming-Gang Wang, Yu-Sheng Nie, Xue-Fei Zhao, Jing Liu
Shuo Yang, Ming-Gang Wang, Yu-Sheng Nie, Xue-Fei Zhao, Jing Liu, Department of Hernia and Abdominal Wall, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100043, China
Author contributions: Wang MG designed the study, wrote the protocol, and undertook the statistical analysis; Yang S performed research; Wang MG and Yang S wrote the first draft of the manuscript; Nie YS, Zhao XF and Liu J assisted in the searches and analyses.
Institutional review board statement: The study protocol was approved by the local Ethical Review Boards of Chao-Yang Hospital. All procedures were performed following established European and American guidelines for the repair of hernias.
Conflict-of-interest statement: All the authors declare no conflict of interest.
Data sharing statement: The data of this research could be obtained upon reasonable request from the corresponding author.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ming-Gang Wang, MD, Chief Doctor, Department of Hernia and Abdominal Wall, Beijing Chao-Yang Hospital, Capital Medical University, No. 5 Jingyuan Road, Shijingshan District, Beijing 100043, China. womi93781345585@163.com
Received: January 28, 2021
Peer-review started: January 28, 2021
First decision: June 15, 2021
Revised: July 11, 2021
Accepted: November 22, 2021
Article in press: November 22, 2021
Published online: January 7, 2022
Processing time: 335 Days and 22.7 Hours
Abstract
BACKGROUND

An incisional hernia is a common complication of abdominal surgery.

AIM

To evaluate the outcomes and complications of hybrid application of open and laparoscopic approaches in giant ventral hernia repair.

METHODS

Medical records of patients who underwent open, laparoscopic, or hybrid surgery for a giant ventral hernia from 2006 to 2013 were retrospectively reviewed. The hernia recurrence rate and intra- and postoperative complications were calculated and recorded.

RESULTS

Open, laparoscopic, and hybrid approaches were performed in 82, 94, and 132 patients, respectively. The mean hernia diameter was 13.11 ± 3.4 cm. The incidence of hernia recurrence in the hybrid procedure group was 1.3%, with a mean follow-up of 41 mo. This finding was significantly lower than that in the laparoscopic (12.3%) or open procedure groups (8.5%; P < 0.05). The incidence of intraoperative intestinal injury was 6.1%, 4.1%, and 1.5% in the open, laparoscopic, and hybrid procedures, respectively (hybrid vs open and laparoscopic procedures; P < 0.05). The proportion of postoperative intestinal fistula formation in the open, laparoscopic, and hybrid approach groups was 2.4%, 6.8%, and 3.3%, respectively (P > 0.05).

CONCLUSION

A hybrid application of open and laparoscopic approaches was more effective and safer for repairing a giant ventral hernia than a single open or laparoscopic procedure.

Keywords: Giant ventral hernia; Hybrid application; Laparoscopic; Hernia recurrence; Complication

Core Tip: This retrospective study reviewed patients with giant ventral hernias who received operations from 2006 to 2013. The outcomes and complications of three commonly used techniques for giant ventral hernia repair were compared. A hybrid approach combining laparoscopic and open procedures is an effective method for giant ventral hernia repair. It is associated with low complication rates and hernia recurrence. Hybrid repair combines the advantages of laparoscopic and open repair and minimizes the disadvantages of the two approaches.