A COMPARATIVE STUDY OF LAPARAOSCOPIC VERSUS OPEN VENTRAL HERNIA EXCLUDING INGUINAL HERNIA

Dr. Surya Prakash; Dr. Vikas Vishwakarma

Volume : VIII, Issue : IV, April - 2019

A COMPARATIVE STUDY OF LAPARAOSCOPIC VERSUS OPEN VENTRAL HERNIA EXCLUDING INGUINAL HERNIA

Dr. Surya Prakash, Dr. Vikas Vishwakarma

Abstract :

Background: Laparoscopic ventral hernia repair is evolving rapidly worldwide to become a standard procedure. The purpose of this study was to compare the benefits, effectiveness, and postoperative outcome of laparoscopic and open repair of ventral hernia. Patients and Methods: Prospectively collected data of 100 patients who underwent open and laparoscopic ventral hernia repair between January 2017 and June 2018, of whom 50 underwent open mesh repair and 50 underwent Laparoscopic repair, were prospectively reviewed. For each patient demographic, preoperative and postoperative data were studied. Statistical analysis was performed by Mean, Standard Deviation, chi-square test and level of significance Results: Both the groups were comparable in age, sex, religion, site of hernia, ASA score, risk factor, comorbidity, mean fascial defect size, and mean size of mesh. The operating time was longer in open group than Laparoscopic group of patients, intraoperative blood loss was more in open group than Laparoscopic group, intraoperative complication like bleeding and bowel injury was more in open group than Laparoscopic although the difference was insignificant. Postoperative complication assessed as early (pain, seroma formation, SSI, urinary retention, postoperative ileus) and late ( recurrence and mesh infection), . Both early and late complication is more in open group. Postoperative ambulatory period, postoperative requirement of analgesia, postoperative hospital stay were less in laparoscopic group. Conclusion: The findings of present study demonstrate that laparoscopic ventral hernia repair in our experience was safe and resulted in shorter operating time with less postoperative complications, shorter hospital stay, less recurrence, more cosmesis although size was limitation.