OUTCOMES OF LAPAROSCOPIC VERSUS OPEN VENTRAL HERNIA REPAIR

Abstract

The study is a prospective cohort study conducted in the department of surgery at Lisie Hospital and was performed in a restricted period of time (one year) comprising 25 patients with laparoscopic repair and 25 patients with open mesh repair, selected randomly. Laparoscopic ventral hernia mesh repair was done for the LVHR group and onlay mesh repair was done for the OVHR group. The study was divided into two groups (LVHR and OVHR).The patient distribution in the LVHR group consisted of 72% Umbilical hernias(UH), 20% Incisional hernia(IH), 4% Epigastric hernia(EH), 4% Infra Umbilical Hernia(IUH) while the OVHR group included 64% Umbilical Hernia(UH),16% Incisional hernia(IH), 12% Para Umbilical hernia(PUH), 4% Epigastric hernia(EH), 4% Supra Umbilical hernia(SUH). There was no mortality in either group. Recurrence rate of 0% was seen for both the groups due to less period of follow up. The Complication rate was 4% for the LVHR group and 24% for the OVHR group. The only complication in the laparoscopic group was seroma. The recovery period is faster for a laparoscopic hernia repair with a mean postoperative hospital stay of 2.160days as compared to 4.84 days for open mesh repair. The postoperative pain for laparoscopic hernia repair was of a lower score when compared to open mesh repair by visual analog scale measurement. Laparoscopic hernia repair is associated with a faster return to normal activities (avg 13.76 days) when compared to open mesh repair(avg 21 days).