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Objectives: This randomized prospective study compares the effectiveness of laparoscopic ventral hernioplasty to the conventional open hernioplasty. Patients and methods: Forty patients with ventral hernias were randomized into 2 equal groups. Group L treated by laparoscopic hernioplasty and Group O treated by open hernioplasty. Patients were followed for 35.5 ±15.3 months in Group L patients and 32.5 ±14.5 months in Group O patients. Results: Mean greater dimension of hernia defect was 6.40 ±2.76 cm in group L and 5.25 ±2.94 cms in Group O (p: 0.21). In group L, mean operative time was 59.4 ± 16.4 minutes. In group O it was 47.2 ±13.8 minutes (p: 0.016). Postoperative pain score 6 hours after surgery was 2.95±1.19 in group L patients versus 3.75 ± 0.786 in group O patients (p: 0.017). Group L patients needed a mean of 1.20 ± 0.410 ampoules of 100 mg Pethedine for analgesia in the first postoperative day versus 2.15 ± 0.671 ampoules in group O patients (p < 0.0001). Mean hospitalization time was 1.10 ±0.308 days in group L versus 1.45 ±0.605 days in group O (p: 0.027). We had 1 conversion (2.5%) to the open repair. Postoperative seroma occurred in 2 patients (5%) in group L and 2 patients (5%) in group O. Two patients (5%) in group O developed surgical site infection. Hernia recurrence was not seen in either Group. Mean patient satisfaction score for Group L patients was 7.90 ± 1.25 versus 6.00 ± 1.72 for Group O patients (p: 0.0003). Conclusion: Compared to open repair, laparoscopic repair is technically feasible, safe and effective, with good clinical outcome. It is associated with longer time for surgery but reduced post-operative pain, analgesic requirement, complication rate and infection rate and earlier return to normal activities.

Background: For many years, traditional surgery for left colon and rectal cancers had developed with variable degrees of morbidity. With the evolution of laparoscopy and by the aid of better visualization and magnification, laparoscopic colorectal surgery had appeared, but technically challenging as it involves almost all advanced laparoscopic techniques, with the benefits of minimal morbidity, less pain, earlier recovery, shorter hospital stay, without compromising oncological results. Aim: The aim of this work was to evaluate laparoscopic resection for left sided colon and rectal cancer as regard feasibility, safety and outcomes. Patients and Methods: This prospective study was conducted on 40 patients having left sided colon and rectal cancer, including 29 patients with rectal cancer and 11 patients with left sided colon cancer within the inclusion criteria are evaluated by clinical examination, radiological and colonoscopic study and biopsy and treated by laparoscopic resection and followed ranged from 6 months to 2 years with mean of 20 months. Results: Twenty seven patients (67.5%) underwent laparoscopic anterior resection, 11 patients (27.5%) underwent laparoscopic left hemicolectomy and only 2 patients (5%) underwent laparoscopic abdominoperineal resection, minimal morbidity, no cancer related mortality and no recurrence during the period of follow up either local or systemic. Conclusion: Laparoscopic resection for left sided colon and rectal cancer is technically feasible, oncologically safe and has more benefits on postoperative recovery.