42 years old men having with all good medical reports and no pain in the past, just safety and future purpose, he is seeking help for hernia repair.
Which is best preferred Laparoscopic Vs Open surgery -epigastric hernia 1.5 cm ?
If patient is asymptomatic why not leave it alone? Usually just pre-peritoneal fat. If requires surgery I would proceed with open and close fascia with non-absorbable like Ethibond.
Please don't strictly follow any answer or go through maximum votes. Must analyze the pathophysiology in each and every case and depend on your surgical skill. Hope you will do your best.
Don't copy any conclusion from any RCT. Most of the time the authors are prejudiced.
.In view of small size defect, I belive that there is no indication for surgery if the patient is symptom free. Otherwise my tendency is to treat with open thechnique
What is the advantage of laparoscopic thechnique for a 1,5cm hernia considering also the costs and the need for a general anesthesia for the laparoscopic procedure. It's my opinion that the indications of the minimally invasive technique should not be exacerbated
