Laparoscopic treatment vs open surgery in the solution of major incisionaland abdominal wall hernias with mesh

Background: Despite being one of the most exact indications, laparoscopic t reatment of eventrations and ventral hernias is barely known among the arra y of laparoscopic-techniques. Methods: A total of 60 patients were assigned at random over a 3-year perio d to two homogeneous groups to be operated on for major ventral hernias wit h mesh. Half of them were operated upon laparoscopically and the rest with open surgery. Early and longer-term complications were analyzed, as were op erative time and postoperative hospital stays. Results: The two groups were homogeneous in terms of demographic and clinic al characteristics. The group that was operated on laparoscopically present ed a lower rate of postoperative and longer-term complications; similarly, surgery rime was significantly Tower (p < 0.05), Hospitalization time was a lso significant lower than in the group undergoing conventional open surger y (p < 0.05). Conclusions: Laparoscopic treatment of postoperative eventration and primar y ventral hernia reduces complications and relapse rates, eliminates reinte rvention through mesh infection, reduces operative time, and considerably s hortens the hospital stay.