Comparison of open anterior component separation versus endoscopic anterior component separation technique for ventral midline incisional hernia at tertiary care teaching hospital in central India
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 5
Abstract
Background: ventral hernia a known complication after abdominal surgery, ventral hernia repair can be done by open anterior component separation as well as endoscopic anterior component separation technique ; studies doing comparison to prove superiority one over other are limited. Hence this study was conducted with objective of Comparison of open anterior component separation versus endoscopic anterior component separation technique for ventral midline incisional hernia in tertiary care teaching hospital Govt Medical College, Nagpur in central India. Material and methods: Study design was a non randomised experimental study. A total 24 patients underwent the ventral midline incisional hernia repair in the study period of 28 months. Out of which 09 cases underwent endoscopic repair and 15 cases underwent open anterior component separation of ventral incisional hernia repair. Final data was tabulated and statistics (mean, t-test-values) were used to compare both technique. Discussion: Out of 24 patients, higher blood loss in open anterior component separation technique (p-0.013) while endoscopic anterior component separation technique requires significantly more operative time (p-0.007), there was no significant difference in duration of drain removal (p-0.964). Mean post operative stay was comparatively lesser in endoscopic repair technique (p-0.015) with lesser pain in endoscopic repair method. Summary and conclusion: Endoscopic anterior component separation requires more duration but less Intra operative blood loss, less post operative pain. Post operative complications are minimal with the endoscopic component separation technique. Less post operative complications rates shortens the post operative hospital stay than open anterior component separation technique. Thus endoscopic anterior component separation technique must be the preferred surgery over open anterior component separation techniques.
Authors and Affiliations
Pravin Bhingare, Brajesh Gupta, Jayant Parwate, Vidhey Tirpude
Keywords
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