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To Compare Absorbable Versus Non-absorbable Tacker for Laparoscopy Ventral Hernia Repair: A Prospective, Randomized Study

Rajan B Somani , Ashok D Thanthvaliya1 , Rajan B Somani2 , Sameer M Shah3

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New Indian Journal of Surgery 11(1):p 17-21, January-March 2020. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11120.2

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Ashok D Thanthvaliya, Rajan B Somani, Sameer M Shah. To Compare Absorbable Versus Non-absorbable Tacker for Laparoscopy Ventral Hernia Repair: A Prospective, Randomized Study. New Indian J Surg. 2020;11(1):17–21.

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Abstract

Context: Laparoscopic incisional ventral hernia repair (LIVHR) has been associated with a high incidence acute and chronic pain due to use of nonabsorbable tackers. Several absorbable tackers have been introduced to overcome these complications. Aims: To compare postoperative effectiveness, comfort, complications of mesh fixation using absorbable and non-absorbable tacks in laparoscopic ventral hernia repair. Settings and design: A Prospective randomized clinical trial. Randomization was done by computer generated randomization number method for a period of 2-year study duration. Material and methods: A total of 60 patients were randomized in two groups. Patients of Group A were subjected to mesh fixation with absorbable tacks and group B were subjected to mesh fixation with no-absorbable tacks. All were evaluated for visual analogue scale (VAS) postoperative, length of hospital stay, time to resume normal activity. Statistical analysis used: Results were compared by student t test or Mann Whitney U test for continuous variables, and chi-square or Fisher's exact tests were used for categorical variables. Results: Patients in both the groups were comparable in terms of demographic profile and hernia characteristics. No significant difference found in VAS score at day 0, 1 week, 3 months and 6 months. No significant difference found in hospital stay, time to return to normal activity, postoperative complications. Conclusions: As per our opinion, the choice of either of these fixation methods during surgery should not be based on the concerns of pain or recurrence. AT may be the preferable option in LIVHR due to the lower cost.

Keywords: Laparoscopic incisional ventral hernia repair; Non-absorbable tackers; Mesh fixation; Pain; Visual analogue scale.

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Ashok D Thanthvaliya, Rajan B Somani, Sameer M Shah. To Compare Absorbable Versus Non-absorbable Tacker for Laparoscopy Ventral Hernia Repair: A Prospective, Randomized Study. New Indian J Surg. 2020;11(1):17–21.

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.11120.2

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