Description

Recurrent incisional hernia remains one of the most challenging conditions in abdominal wall surgery. Conventional open surgery often carries risks of wound complications, higher pain, and longer recovery. With advancements in minimal access surgery, innovative techniques have been developed to reduce patient morbidity while ensuring durable repair. One such advanced approach is the two-port laparoscopic repair of recurrent incisional hernia, performed with precision and expertise by Dr. R. K. Mishra, a pioneer in laparoscopic and robotic surgery at World Laparoscopy Hospital, India. The Challenge of Recurrent Incisional Hernia An incisional hernia occurs when a weakness develops at the site of a previous abdominal surgery, allowing abdominal contents to protrude. When hernias recur after repair, they are often larger, more complex, and associated with adhesions, making surgical management more demanding. Traditional open repair requires larger incisions, which increase the risk of infection and re-recurrence. The Two-Port Laparoscopic Technique Dr. Mishra’s expertise in minimal access surgery has refined the laparoscopic management of recurrent incisional hernia using only two ports instead of the conventional three to four ports. This innovative technique provides several advantages: Minimal Access, Maximum Outcome – With just two small incisions, the procedure significantly reduces postoperative pain and improves cosmetic results. Adhesiolysis with Precision – Advanced laparoscopic instruments allow safe dissection of adhesions around the hernia defect without compromising surrounding structures. Mesh Placement – A prosthetic mesh is placed laparoscopically to reinforce the weakened abdominal wall, covering the defect with an adequate overlap to prevent recurrence. Fewer Port Sites – Reduced number of ports decreases the chances of port-site hernia and infection. Benefits to the Patient Reduced postoperative pain compared to open or multi-port laparoscopic repair. Shorter hospital stay and faster return to daily activities. Lower wound-related complications, especially important in recurrent cases. Better cosmetic outcomes due to fewer and smaller scars. Dr. R. K. Mishra’s Contribution Dr. Mishra has been at the forefront of training surgeons worldwide in advanced laparoscopic and robotic surgery. His two-port technique for recurrent incisional hernia exemplifies how surgical innovation can be combined with patient safety and comfort. At World Laparoscopy Hospital, this technique has been successfully adopted, offering patients a reliable and less invasive solution for a condition that is traditionally difficult to treat. Conclusion The laparoscopic repair of recurrent incisional hernia by two ports is a breakthrough in the field of minimal access surgery. With fewer incisions, reduced pain, and improved recovery, this method represents the future of hernia surgery. Under the expertise of Dr. R. K. Mishra, patients not only receive advanced treatment but also benefit from a holistic approach focused on rapid recovery and long-term success.