DOI: http://dx.doi.org/10.18203/2349-2902.isj20221417

Evaluation of outcome in laparoscopic and open ventral hernia repair: a prospective study

Shubhankar Aggarwal, P. K. Sachan, Vinamra Mittal

Abstract


Background: Ventral hernias are categorized as epigastric, umbilical, spigelian, parastomal, and incisional hernias. Hernias occurring in epigastrium and umbilical region are considered as primary ventral hernias. There are various ways of hernia repair, in which the tension free repair remains the most important one. For doing a repair by laparoscopy, first of all the contents of the hernia are reposited back in the abdomen, followed by placement of mesh transabdominally which should be of optimum size and type

Methods: The present study is a prospective observational study that emphasizes to analyse and evaluate outcome in open and laparoscopic mesh repair of ventral hernia that presented to the Himalayan hospital over a period of 1 year.

Results: Study shows that more than 50% of the cases were recorded in the age group between 26-50 years (mean 47 years) with majority being females. Umbilical hernia (45.1%) was the most common followed by incisional hernia (28.2%), paraumbilical hernia (22.5%) and epigastric hernia (4.2%). Diabetes mellitus was the most common comorbidity (88.7%) followed by hypertension (64.8%). VAS score was statistically significant between individuals who got surgery by laparoscopy when compared with open approach. A significant difference was also observed between period of mobilization and surgical procedure.

Conclusions: Surgery of ventral hernia by laparoscopy has less post-surgical pain, less problems, lesser stay in hospital and had lesser impact on economy as the individuals returned to their normal routine in lesser time.


Keywords


Ventral hernia, Open hernia, Laparoscopic hernia repair, IPOM

Full Text:

PDF

References


Muysoms FE, Miserez M, Berrevoet F. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13:407.

Lanzafame RJ, Stadler I, Brondon P, Soltz BA, Devore DP. Preliminary assessment of postoperative adhesion formation after laser assisted mesh fixation to the peritoneal surface. J Laparoendoscopic Adv Surg Tech A. 2005;15(2):105-11.

Kayaoğlu HA, Özkan N, Hazinedaroğlu SM, Ersoy ÖF, Erkek AB, Köseoğlu RD. Comparison of adhesive properties of five different prosthetic materials used in hernioplasty. J Invest Surg. 2005;18(2):89-95.

Office of Population Censuses and Surveys Hospital Episode Statistics 1998-99. London: HMSO. 2000.

Thoman DS, Phillips EH. Current status of laparoscopic ventral hernia repair Surg Endosc. 2002;16;939-42.

Sandeep Patil. Comparison of Openvs Laparoscopic Repair of Uncomplicated Ventral Hernia. New Indian J Surg. 2017;8(1).

Courtney CA. Ventral hernia repair: a study of current practice. Hernia. 2003;7:44-6.

Itani KM, Hur K, Kim LT, Antony T, Berger DH, Reda D et al. ComparisionOf Laparoscopic and Open Repair with Mesh For Treatment Of Ventral Incisional Hernia. Arch Surg. 2010;145(4):322-8.

Tessier DJ, Swain JM, Harold KL. Safety of laparoscopic ventral hernia repair in older patients. Hernia. 2006;10:53-7.

Raftopoulos I, Vanuno D. Comparison of Open and Laparoscopic Prosthetic Repair of Large Ventral Hernias. JSLS. 2003;7:227-32.

Goodney PP, Birkmeyer CM. Short-term outcomes of laparoscopic and open ventral hernia repair: a meta-analysis. Arch Surg. 2002;137(10):1161-5.