Title: Comparative Prospective Study of Ventral Hernia Repair: Laparoscopic Versus Open Technique
Authors: Maurya RK, Singh RK, Mishra KB, K. Vishal, Ziauddin
Background: Repair of ventral hernia has changed dramatically over past decades with introduction of laparoscopy. The objective of this study is to compare outcome of patients after laparoscopic and open hernia repair in terms of duration of surgery , postoperative pain, hospital stay, return to normal activities, and recurrence of hernia.
Methods: This was a prospective observational comparative study in GSVM Medical college Kanpur. Total no of patient were 60, out of 60, 30 patients were operated by laparoscopic and 30 patients by open method.
Results: The mean age for laparoscopic repair group was 36.53 years and for open group was 46.76 with p value >0.05.Laparoscopic hernia repair requires mean duration of surgery 94.2 min and open hernia repairs requires 80.83 with p value <0.05.Post operative pain, hospital stay and return to normal activities were significantly low in laparoscopic group as compared to open group. There were fewer complications in laparoscopy group.
Conclusions: The findings of our study shows that laparoscopic repair requires longer duration of surgery, shorter hospital stays, lesser analgesia, fewer complications, and early return to normal activities. Hence it can be considered as the procedure of choice for ventral hernia repair.
Keywords: Ventral hernia, open ventral hernia repair, laparoscopic ventral hernia repair.