Result of Laparoscopic Primary Suturing and Mesh Fixation in Incisional Hernia

Dr. Sanjay Chaube; Dr. A.K. Sanwal; Dr. M. Jain; Dr. Rajkumar Verma

Volume : VII, Issue : III, March - 2018

Result of Laparoscopic Primary Suturing and Mesh Fixation in Incisional Hernia

Dr. Sanjay Chaube, Dr. A. K. Sanwal, Dr. M. Jain, Dr. Rajkumar Verma

Abstract :

Background: Incisional hernia is any abdominal wall gap with or without a bulge in the area of postoperative scar perceptible or palpable by clinical examination or imaging. Incisional hernia repair is a most common operations. Open and laparoscopic surgery are procedures for hernia repair.

Aims and objective: The aim of the current study was to analyze that primary defect closure & mesh fixation will gives good result in incisional hernia.

Materials and Methods: A total of 84 patients with hernia were enrolled and all were treated with laparoscopic repair procedure. All hernia were repaired with primary closure with mesh.

Results: 38 were male and 46 were female patients from 84 enrolled patients. Patient�s age was 43 � 41.01 years of age. Out of 84 patients 28 had hernia on upper abdominal and 56 were on lower abdominal. Size of hernia was 6.5 � 4.95 cm². Total mean operation time was 109 � 100.41 min. Post-operative stay was 3.5 � 2.12 days. Out of 84 patients, 2 were converted to open surgery. 2 cases were found for recurrence out of 84 enrolled patients.

Conclusion: Laparoscopic primary defect closure by mesh fixation gives a good approximation and does not show postoperative bulging that gives more satisfaction to the patient.