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Comparison of Openvs Laparoscopic Repair of Uncomplicated Ventral Hernia

Sandeep Patil* , Sandeep Patil* , Pramod**

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New Indian Journal of Surgery 8(1):p 81-84, January - March 2017. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8117.16

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Abstract

 Introduction: Hernia may be either symptomatic or asymptomatic, and commonly cause pain or are aesthetically distressing. These problems, coupled with the risk of obstruction & incarceration, are the most common reasons for patients seeking surgical repair of hernias. Advances made in the basic and clinical sciences have allowed for the better understanding of pathophysiology of hernia formation. It is known that based on Pascal’s principle of the hydrostatic forces and the law of LaPlace that a hernia will continue to enlarge over the time if not treated. Methodology: Patients with age between 18years and 60 years were included in the study. Patients with severe comorbid conditions (severe cardiopulmonary disease, uncontrolled ascites), with pre-existing skin infection at surgical site, with multiple post-op scars, and patients undergoing emergency surgery were excluded from the study. Results: There were no post-operative deaths, no major cardiovascular, pulmonary complications. 3 patients in the laparoscopic group developed seromacompared to 9 patients among open repair group.14 patients developed surgical site infection, 2 patients at laparoscopic port site and 12 who underwent open mesh repair. 17 patients had chronic pain at the operated site at the end of 2 months followup. Conclusion: Open hernia repair which are riddled with higher incidence of complications is reiterated once again in our study too. Thus management of ventral hernia with open method can be narrowed down to only cases which are complicated with multiple adhesions or irreducible incarcerated, strangulated hernia.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.8117.16

Keywords

Ventral Hernia; Open Repair; Laparoscopic Repair.

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