A prospective study comparing laparoscopic and open ventral hernia repair

Rubby, Shaikh Afzal; Rangaswamy, Purushothaman; Sundar, P. V. Praveen

doi:10.18203/2349-2902.isj20164427

Cited by 5 publications

(8 citation statements)

References 9 publications

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“…Laparoscopic repair of ventral hernia is showing promising results and is being widely practiced now-a-days. 13,14 Postoperative pain and hospital stay is lesser and there is faster resumption of routine activities after laparoscopic procedure. In spite of all the advantages, laparoscopic repair may have several disadvantages like need for general anaesthesia, higher operative cost, incompatibility for patient's status like cardiorespiratory insufficiency, abnormalities of haemostasis and ascites.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and management of ventral hernia in a tertiary health care centre- a prospective observational study

Gaur

Sharma

2022

Int Surg J

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Background: Ventral hernias are a common problem confronting surgeons. Data about standards of their surgical management have failed to keep pace with rapid advances in surgical techniques, and materials. Older techniques have often been discarded simply because of availability of newer ones without due consideration to availability, feasibility, training, local conditions and constraints. Therefore, a balanced, practical and pragmatic opinion regarding surgical management at individual, institutional and regional levels is needed. We studied clinical aspects and best treatment modalities of ventral hernias in our set-up.Methods: This is a prospective observational study of various types of ventral hernias, surgically managed at a tertiary care hospital between January 2018 and September 2019.Results: Mean age of presentation among 71 patients (27 males, 44 females) was 48.11±5.71 years. Incisional hernias (30.98%) were the commonest type. Painless swelling (49.29%) was the most common clinical presentation. Obesity (40.84%) and multiparity (30.98%) were the most common associated risk factors. Incisional hernias are probably better managed by open approach.Conclusions: Ventral hernias are more prevalent in the elderly and females. Incisional, umbilical, epigastric hernias are the more common types. Laparoscopy is being preferred over open procedure due to some advantages that it offers, but incisional hernias can often be better managed by open approach depending upon local set up. In addition, laparoscopic approach is not universally applicable and also has certain drawbacks.

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Section: Discussionmentioning

confidence: 99%

Epidemiology and management of ventral hernia in a tertiary health care centre- a prospective observational study

Gaur

Sharma

2022

Int Surg J

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“…Similar finding was observed in a study conducted by Ruby et al in a prospective study comparing laparoscopic and open ventral hernia repair found majority (50%) of the patients were in the 4th to 6th decade. 15 Predominance of older age group might be attributed to weakening of abdominal muscles, delayed healing and additional age related co morbidities.…”

Section: Age Distributionmentioning

confidence: 99%

A comparative study of laparoscopic trans abdominal pre peritoneal ventral hernia repair versus open pre peritoneal ventral hernia repair

2019

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Background: Ventral hernias are defined as a protrusion of abdominal contents through the abdominal wall muscle. It can be categorised as spontaneous or acquired or by their location on the abdominal wall like epigastric hernia, umbilical hernia, para umbilical hernia etc. This original article reveals that laparoscopic trans abdominal pre peritoneal (TAPP) mesh placement for ventral hernia usually follows the current principle of hernia surgery and give better results from open pre peritoneal ventral hernia repair.Methods: A prospective study conducted in Dr. D. Y. Patil Medical College and Hospital, Pune for the period of 2017-2019 comparing laparoscopic TAPP vs. open preperitoneal ventral hernia repair. Total of 25 patients for laparoscopic TAPP repair and 25 patients for open preperitoneal repair were compared.Results: Total 50 cases were studies in which 25 for laparoscopic and 25 for open repair. Majority of patients were female than males. Incidence of para umbilical (56%) was found to be more. Intra operative, post-operative complications were found to be more in open repair than laparoscopic TAPP repair.Conclusions: Laparoscopic TAPP ventral hernia repair is safe with fewer complications. Therefore, offers successful treatment for ventral hernia repair with added benefits of laparoscopy such as better visualization and magnification of the hernia defects which are not clinically apparent and less chances of injury which is not possible by open technique. Laparoscopic TAPP ventral hernia repair gives equal results in terms of recurrence and less complications than open ventral hernia repair.

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“…A ventral hernia occurs due to a weakness in the musculofascial layer of the anterior abdominal wall [ 1 ]. Ventral hernia includes paraumbilical, epigastric, Spigelian, and incisional hernias [ 2 , 3 ].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Versus Open Ventral Hernia Repair: Experience at a Tertiary Care Center in Western Rajasthan

Kalyan¹,

Rathore²,

Verma³

et al. 2022

Cureus

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BackgroundVentral hernias are the second most common type of hernias accounting for 21-35% of all hernia types. Ventral hernia includes incisional, umbilical, epigastric, and Spigelian hernias, among others. Currently, patients and surgeons prefer laparoscopic repair of ventral hernias. This study aimed to compare laparoscopic with open hernia repair in terms of various operative and patient parameters. MethodologyThis was a prospective observational study conducted in the Department of General Surgery, Dr. Sampurnanand Medical College, Jodhpur. All patients admitted with a diagnosis of ventral hernia for mesh repair (open as well as laparoscopic) were included. Laparoscopic and open hernia repair were compared in terms of operative time, postoperative hospital stay, time to resume routine activity, postoperative complications, and recurrence. ResultsAmong the 50 patients included in the study (25 patients each in the laparoscopic and open groups), the mean operative time was 57.52 ± 5.80 minutes in the laparoscopic group and 59.8 ± 11.15 minutes in the open group. The mean hospital stay in the laparoscopy and open groups was 7.4 ± 1.58 days and 9.88 ± 2.96 days, respectively (p-value = 0.0006; significant). Postoperative pain (using the visual analog scale score) was less in patients who underwent laparoscopic surgery (p-value = 0.001; significant). Seroma and surgical site infections were the most common complications which were observed more in the open hernia repair group. Recurrence was seen in one case operated by the open technique. ConclusionsLaparoscopic ventral hernia repair is technically safer, effective, and feasible with better clinical outcomes in patients seeking treatment in a government hospital.

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A prospective study comparing laparoscopic and open ventral hernia repair

Cited by 5 publications

References 9 publications

Epidemiology and management of ventral hernia in a tertiary health care centre- a prospective observational study

Epidemiology and management of ventral hernia in a tertiary health care centre- a prospective observational study

A comparative study of laparoscopic trans abdominal pre peritoneal ventral hernia repair versus open pre peritoneal ventral hernia repair

Laparoscopic Versus Open Ventral Hernia Repair: Experience at a Tertiary Care Center in Western Rajasthan

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