Although laparoscopic surgery for a ventral hernia is considered the most effective repair method, there are some situations in which open surgery is best, according to the Beth Israel Deaconess Medical Center. For instance, obesity or scar tissue are cases in which open surgery is the preferred surgical method.
Laparoscopic surgery is considered superior to open surgery for a ventral hernia repair because, in part, it is minimally invasive and requires only small incisions into the skin, states the Beth Israel Deaconess Medical Center. A patient also heals better and more aesthetically and experiences less pain in the recovery. The recovery time is less for this procedure as well. However, laparoscopic surgery does take longer to perform than open surgery.
Certain cases such as obesity require open surgery for hernias, according to the Society of American Gastrointestinal and Endoscopic Surgeons. Sometimes the surgeon changes from a laparoscopic to an open surgery for the safety of the patient. Large hernias require open surgery, while small smaller hernias, especially those on the gall bladder or bilateral hernias are better performed laparoscopically.
A hernia is a tear in part of the abdomen that can cause problems with the intestines, the Beth Israel Deaconess Medical Center explains. In order to close the hole, a surgeon sews a mesh patch on the underside of the hole.