COMPARATIVE STUDY OF OPEN AND LAPAROSCOPIC INCISIONAL HERNIA REPAIR WITH RESPECT TO PERI-OPERATIVE COMPLICATIONS AND POST – OPERATIVE MORBIDITY.

Abstract

INTRODUCTION: Incisional hernia, a failure of the abdominal wall fascia to heal, is a common postoperative complication following abdominal surgery with an incidence varying between 2% and 50%. Incisional hernia entails signicant morbidity and discomfort resulting in disturbances in day to day activities. In spite of various available techniques available to surgeon, these hernias recur leading the surgeon to search for an ideal procedure of their repair with preferably zero or universally acceptable minimal recurrence rate. Laparoscopic incisional hernia repair, controversy has endured despite of numerous studies and data suggesting success of laparoscopic incisional hernia repair. However, there is relative lack of evidence to support adoption of laparoscopic repair as standard technique in regard to post operative morbidity and cost effectiveness. AIMS AND OBJECTIVE: To compare open and laparoscopic incisional hernia repair technique with respect to the post-operative complications and perioperative morbidity. MATERIAL AND METHODS: This is prospective, observational, comparative study, comparing patients who underwent laparoscopic incisional hernia and open incisional hernia repair during study period of November 2015 to August 2017 in Department of General Surgery, J.L.N. Hospital and Research centre, Bhilai. STATISTICAL METHOD: Data is analyse using percentages , mean and standard deviation. Continuous variable analysed by Unpaired T-test. Categorical data analyzed using chi square test or Fisher exact test. CONCLUSION: In our study laparoscopic incisinal hernia repair has more favourable outcome in terms of less hospital stay, shorter duration of surgery, less post-operative pain, early to resume daily activity and lesser wound related complications.