Laparoscopic versus open ventral hernia repair: A comparative study

Abstract

Background: A ventral hernia is when an abdominal viscus or a portion of it protrudes through the anterior abdominal wall anywhere other than the groin. The aim is to compare the effectiveness of ventral hernia repair by laparoscopic vs. open repair in patients admitted from the Department of Surgery. Materials and Methods: This is a hospital-based comparative study on patients with ventral hernias compared to a study of the efficacy of laparoscopic vs open ventral hernia repair on patients admitted in various surgical units in SKIMS medical college. Results: Laparoscopic procedure in ventral hernia has shown promising results and is being widely accepted. Laparoscopic repair of hernia though requires increased operative time in the beginning but with experience over time and improved skills the time duration was significantly reduced, it results in shorter hospital stay, ICU stay, and lower short-term complications (Pain) when compared to open repair. Conclusion:The majority of studies conducted across the world have demonstrated that laparoscopic ventral hernia repair offers promising outcomes and a distinct benefit in terms of less post-operative discomfort, shorter hospital stays, quicker return to normal activities, and higher rates of cosmetic success. Laparoscopic ventral hernia repair is therefore a safe and practical substitute for open treatment. The study's cost may be its primary disadvantage, but since our hospital is a government facility, this is not a major issue. However, because it shortens hospital stays, an earlier return to normal life may be possible at the same cost as open surgery. The study's limitation is the little time frame used to evaluate recurrence rates.