To investigate the clinical efficacy of laparoscopic ventral hernia repair (LVHR) on patients with incisional hernia and its effect on their gastrointestinal function.

Sixty-eight patients with incisional hernia of the abdominal wall admitted to our general surgery department from November 2016 to October 2019 were selected. All patients were divided into a laparoscopic group (34 cases) and an open group (34 cases) according to the surgical method. The open group underwent open repair procedure, and the laparoscopic group underwent laparoscopic hernia repair. Intraoperative data, postoperative recovery data, postoperative gastrointestinal function data and postoperative complication rates were recorded and compared between the 2 groups.

Intraoperative bleeding was significantly less in the laparoscopic group than in the open group (P<0.05). The incision healing time, time to get out of bed and hospital stay were significantly shorter in the laparoscopic group than in the open group (P<0.05); the hospital cost was significantly higher in the laparoscopic group than in the open group (P<0.05). Gastrointestinal function indexes (first feeding time, first bowel sound time, first anal exhaust time, first defecation time) in laparoscopic group were significantly shorter than those in open group (P<0.05); the incidence of postoperative complications was significantly lower in the laparoscopic group than in the open group (P<0.05).

Laparoscopic ventral hernia repair is clinically effective in treating patients with incisional hernia, with less intraoperative bleeding, faster postoperative recovery, and lower postoperative complication rate than traditional open surgery, and it can effectively promote the recovery of gastrointestinal function of patients, but the cost of treatment is relatively high.