Laparoscopic incisional hernia repair

Laparoscopic hernioplasty was used in patients with incisional abdominal hernias. All repairs were made using an intraperitoneal onlay patch of expanded polytetrafluoroethylene Gore-Tex DualMesh Biomaterial. The patch was secured by whole thickness sutures, that tied subcutaneously through stab holes, and staples between the sutures to cover the hernia defect without excision of the hernia sac. There were three postoperative complications, one seroma, one haematoma and one infection. These complications were successfully healed without reoperation. No recurrence was observed during a follow-up of 8-21 months (average 15 months). Laparoscopic incisional hernioplasty using the new material, Gore-Tex DualMesh Biomaterial, which is securely sutured and stapled on the abdominal wall, is a promising minimally invasive procedure. Continued follow-up is necessary to determine long-term results.