Comparison of Laparoscopic and Open Repair for Ventral Hernias Using Quality of Life Index
Journal Title: New Indian Journal of Surgery - Year 2019, Vol 10, Issue 3
Abstract
Background and Aim: Millions of patients are affected each year presenting with most commonly with primary ventral, incisional, and inguinal hernias. In this study we have made an attempt to study 200 cases of ventral hernias selected randomly from cases admitted to our hospital and compare quality of life between open and laparoscopic repair group during the post-operative period. Material and Methods: present study was the patients admitted to the medical institute in Gujarat in the department of Surgery. Patients underwent polypropylene mesh repair either Inlay repair or Onlay repair by open method. Laparoscopically mesh (dual layer mesh) was placed intraperitoneal after reduction of hernia. Both the group patients were followed up for 2months. SF-8 scoring card was filled by the patient during follow-up at 1st month and 2nd month. Results: Paraumblical hernia was present in 90 patients, incisional hernia was present in 36, epigastric hernia was present in 20 patient and 14 had umbilical hernia. However seroma was developed in 6 patients treated by laparoscopic means as compared to 18 patients in open repair wound. Surgical site infection was seen in 28 patients, 24 patients did underwent open mesh repair. There was post operative chronic pain at the operated site at the end of 2 months follow up. Conclusion: Laparoscopic ventral hernia repair provides lesser post-operative pain, lesser complications, shorter hospital stay and lesser economic impact as they returned to returned to work early. Thus patients have less morbidity and improved quality of life.
Authors and Affiliations
Yogesh V. Velani
Keywords
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- EP ID EP594942
- DOI 10.21088/nijs.0976.4747.10319.17
- Views 72
- Downloads 0
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