A Comparitive Study of Laparoscopic Mesh Repair versus Open Mesh Repair for Incisional Hernia
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 5
Abstract
Aim: To compare the outcome of laparoscopic incisional hernioplasty and open hernioplasty in terms of safety and effectiveness , duration of NPO status after surgery , post operative pain , post operative wound complications , duration of hospital stay , time required to resume regular activities and cost effectiveness. Methods: Fifty cases of incisional hernia admitted in the department of general surgery Thoothukudi medical college and hospital. Detailed history taking done. Patients were divided in two groups. One group underwent laparoscopic mesh repair and group 2 underwent open mesh repair. Results: Deceased incidence of post operative wound infections, less postoperative pain, early post operative enteral feeding , lesser duration of hospital stay , faster recovery , better visualization of hernial defect and hence better repair are all the extra added advantages found in laparoscopic incisional hernia mesh repair. Conclusion: Laparoscopic mesh repair will probably have a positive effect on financial and human resources and apart from cost effectiveness laparoscopic incisional hernioplasty seems to be superior and has more advantages and a better alternative for open hernioplasty.
Authors and Affiliations
Dr. M. Anto, Dr. V. S. Venkatesan
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