Laparoscopic or Open Ventral Abdominal Hernia Repair: A Comparative Study in Tertiary Care Rural Hospital
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 6
Abstract
Introduction: Ventral Hernia repair has been one of the most commonly performed surgeries. The most significant advances to impact Ventral Hernia repair have was addition of the prosthetic materials to conventional repair and the introduction of Laparoscopy to general surgical procedures. This clinical study was undertaken to compare the results of Open Ventral Hernia Repair (OVHR) with Laparoscopic Ventral Hernia Repair based on - Mean duration of surgery, Post operative hospital stay, Post operative pain, Mean duration of hospitalization, Complications of the surgery, incidence of recurrence after 6 months follow up. Material and Methods: The prospective study was conducted on 64 patients presenting with a ventral abdominal hernia to Great Eastern Medical School, Srikakulam, Andhra Pradesh, India between July 2016 and July 2017. Results: In the study, Laparoscopic hernia repair experienced less postoperative pain, reduced mean duration of hospital stay and postoperative hospital stay, early resume of work and normal activities, less complications and less incidence of recurrence after 6 months of follow up. However, the cost of surgery and mean duration of surgery was high in laparoscopic group compared to open group patients. Conclusion: Even though the initial expenses of the laparoscopic surgery is more, the overall cost benefit ratio is better in the laparoscopic technique than the open one for ventral hernias since there is less postoperative stay, faster post op recovery and earlier return to work.
Authors and Affiliations
B. Mallayya .
Keywords
Related Articles
- EP ID EP548390
- DOI 10.21088/nijs.0976.4747.9618.22
- Views 83
- Downloads 0
Elankumar S.1, Chittoria R.K.2, Preethitha B.3, Sudhanva H.K.4, Kumaran M.S.5, Sireesha K.R.6, Vinayak C.7, Friji M.T.8, Mohapatra D.P.9, Dineshkumar S.10
Background: Thermal burn injuries are relatively common in developing countries which produce more physical and psychological damage. By promoting early healing these complications can be minimised. Phenytoin is one of t...
Use of Harmonic Scalpel in Total Thyroidectomy as Against Conventional Methods
Background and Objectives: Thyroid disorders are frequently encountered at the surgical outpatient department. Harmonic scalpel uses high-frequency mechanical energy to cut and coagulate tissues and vessels simultaneousl...
Determination of Ideal Time for Termination of End Ostomy Based on Primary Aetiology: A Retrospective Analysis
Construction of the ostomy is one of the routinely performed diversion procedure. End ostomies (ileostomy /colostomy) are being constructed for emergency abdominal conditions which requires resection of the bowel but re-...
Preoperative Predictors of Difficult Laparoscopic Cholecystectomy
Laparoscopic cholecystectomy (LC) is considered the treatment of choice for symptomatic cholelithiasis /cholecystitis. However, of all Laparoscopic cholecystectomy attempted, 1-13% requires conversion to open cholecystec...
Comparison of Laparoscopic and Open Repair for Ventral Hernias Using Quality of Life Index
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 he...