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Category: Volume 07 Issue 03 March 2019
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Title: Comparative Prospective Study of Ventral Hernia Repair: Laparoscopic Versus Open Technique

Authors: Maurya RK, Singh RK, Mishra KB, K. Vishal, Ziauddin

 DOI: https://dx.doi.org/10.18535/jmscr/v7i3.64

Abstract

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.

References

  1. Mark A. Malangoni, Michael J. Rosen. Sabiston textbook of surgery, 19th edition. United States, Saunders;2012:1128-9.
  2. Cassar K, Munro A. Surgical treatment of incisional hernia. Br J Surg. 2002;89:534-45.
  3. Anthony T, Bergen PC, Kim LT, Henderson M, Fahey T, Rege RV, et al. Factors affecting recurrence following incisional herniorrhaphy. World J Surg. 2000;24:95–100.
  4. Luijendijk R, Hop W, Van den Tol MP, de Lange DC, Braaksma MM, IJzermans JN, et al. A comparison of suture repair with mesh repair for incisional hernia. N Eng J Med. 2000;343:392–8.
  5. Leblanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3:39–41.
  6. Carbajo MA, Martin del Olmo JC, Blanco JI et al (1999) Laparoscopic treatmentvs open surgery in the solution of major incisionaland abdominal wall hernias with mesh. SurgEndosc13:250–252.
  7. Itani KM, Hur K, Kim LT et al (2010) Comparison of laparoscopicand open repair with mesh for the treatment of ventralincisional hernia: a randomized trial. Arch Surg 145:322–328.
  8. MisraMC, Bansal VK, Kulkarni MP et al (2006) Comparison oflaparoscopic and open repair of incisional and primary ventralhernia: results of a prospective randomized study. SurgEndosc20:1839–1845.
  9. Barbaros U, Asoglu O, Seven R et al (2007) The comparison of laparoscopic and open ventral hernia repairs: a prospective randomized study. Hernia 11:51–56.
  10. Goel TC, Dubey PC. Abdominal incisional hernia- anatomical technique of repair. Ind J Surg. 1981;43:324-7.
  11. Shukla VK, Gupta A. Cardiff repair of incisional hernia : a university hospital experience. Eur J Surg. 1998;164:271-4.
  12. Rogmark P, Petersson U, Bringman S et al (2013) Short-term outcomes for open and laparoscopic midline incisional herniarepair: a randomized multicenter controlled trial: the ProLOVE(prospective randomized trial on open versus laparoscopic operation of ventral eventrations) trial. Ann Surg 258:37–45
  13. Navarra G, Musolino C, De Marco ML et al (2007) Retromuscular sutured incisional hernia repair: a randomized controlled trial to compare open and laparoscopic approach. Surg Laparosc Endosc Percutan Tech 17:86–90.
  14. Asencio F, Aguilo J, Peiro S et al (2009) Open randomized clinical trial of laparoscopic versus open incisional hernia repair.Surg Endosc 23:1441–1448
  15. Eker HH, Hansson BM, Buunen M et al (2013) Laparoscopicvs. open incisional hernia repair: a randomized clinical trial. JAMASurg 148:259–263
  16. Olmi S, Scaini A, Cesana GC et al (2007) Laparoscopic versusopen incisional hernia repair: an open randomized controlled study. Surg Endosc 21:555–559.
  17. Pring CM, Tran V, O’Rourke N et al (2008) Laparoscopic versusopen ventral hernia repair: a randomized controlled trial. ANZ JSurg 78:903–906.
  18. Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg. 2000;190:645-50.
  19. Lomanto D, Iyer SG, Shabbir A, Cheah WK. Laproscopic versus open ventral hernia mesh repair. SurgEndsc. 2006;20(7):1030-5.
  20. McGreevy JM, Goodney PP, Birkmeyer CM, Finalayson SRG, Laycock WS, Birkmayer JD. A prospective study comparing complications rates between laparoscopic and open ventral hernia repairs. Surg Endosc. 2003;17(11):1778-80.
  21. Moreno-Egea A, Carrasco L, Girela E et al(2002)Open vs laparoscopic repair of spigelian hernia: a prospective randomized trial. Arch Surg 137:1266–1268.
  22. Rosen MJ, Duperier T, Onders R, Hardacre J, Ponsky J, Ermlich B, Laughinghouse M. Prospective randomized double bind placebo controlled trial of post-operative pain pump devices used after laparoscopic hernia repair. Surg Endosc. 2009;23(12):2637-43.

Corresponding Author

K. Vishal

Resident, Department of General Surgery, Gsvm Medical College Kanpur, Uttar Pradesh India