✦ HERNIA SURGERY · LAPAROSCOPIC VENTRAL

Laparoscopic Ventral Hernia Repair

Q: Is laparoscopic ventral hernia repair suitable for all ventral hernias?

Laparoscopic IPOM repair is ideal for defects up to 8–10 cm. Very large defects or loss of abdominal domain may require open repair with component separation.

Q: What type of mesh is used in laparoscopic ventral hernia repair?

A composite mesh with a non-adherent peritoneal surface is used to prevent bowel adhesions to the mesh. The outer surface integrates with the abdominal wall tissue.

Q: Can laparoscopic ventral hernia repair be done after previous abdominal surgery?

Yes, but extensive prior surgery increases adhesion burden and operative complexity. CT planning and careful laparoscopic adhesiolysis allow safe repair in most cases.

Keyhole repair of ventral hernias with IPOM mesh — smaller incisions, faster recovery, equivalent recurrence rates.

60–120 Min TREATMENT DURATION

Day Care / 1 Day CARE SETTING

Laparoscopic APPROACH

2–3 Weeks RECOVERY TIMELINE

What is Laparoscopic Ventral Hernia Repair?

Laparoscopic ventral hernia repair uses 3–4 small keyhole incisions to place a large composite mesh intraperitoneally (IPOM — Intraperitoneal Onlay Mesh), covering the hernia defect with adequate overlap. It offers smaller incisions, lower wound infection rates, and faster recovery than open ventral hernia repair. Dr. Tagore Mohan Grandhi performs laparoscopic ventral hernia repair for umbilical, epigastric, and incisional ventral hernias. The mesh is fixed with tacks and sutures, achieving equivalent recurrence rates to open repair through keyhole incisions.

Suitable for most patients with ventral hernias up to 10 cm defect size — particularly those prioritising minimal recovery time or with high risk of wound complications from open surgery.

How the Procedure Works

Port Placement

3–4 keyhole incisions placed away from the hernia defect. Laparoscopic ports inserted. CO₂ pneumoperitoneum created.

Adhesiolysis

Any adhesions to the anterior abdominal wall carefully divided under laparoscopic vision to expose the hernia defect fully.

Defect Assessment

Hernia defect measured laparoscopically. Hernia contents reduced. Defect size confirmed to select appropriate mesh size with adequate overlap.

Mesh Placement

Large composite IPOM mesh placed intraperitoneally, covering the defect with minimum 5 cm overlap in all directions. Mesh fixed with transfascial sutures and tacks.

Recovery

Day surgery or 1-night admission. Return to light activity in 1 week. Heavy lifting restricted for 4–6 weeks.

Outcomes

60–120 MinTREATMENT DURATION

Day Care / 1 DayCARE SETTING

LaparoscopicAPPROACH

2–3 WeeksRECOVERY TIMELINE

Who Needs This Treatment?

→3–4 small incisions — significantly lower wound infection rate than open repair
→Day surgery or 1-night admission — faster recovery than open ventral hernia repair
→Equivalent recurrence rates to open repair with mesh in experienced hands
→Suitable for patients with multiple comorbidities at high risk of open wound complications

Laparoscopic ventral hernia repair gives patients equivalent durability to open surgery through keyhole incisions — ideal for patients wanting the fastest recovery and lowest wound complication risk.

— Dr. Tagore Mohan Grandhi, Senior Consultant Gastrointestinal Surgeon, Lux Hospitals, Hyderabad

Common Questions

Frequently Asked Questions

Is laparoscopic ventral hernia repair suitable for all ventral hernias?+

What type of mesh is used in laparoscopic ventral hernia repair?+

Can laparoscopic ventral hernia repair be done after previous abdominal surgery?+

Not sure which treatment is right for you?

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