A comparative and prospective study of ventral hernia repair by laparoscopic and open technique
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240022Keywords:
Laparoscopic mesh hernia, Ventral hernia, Incisional herniaAbstract
Background: Ventral hernia repair is becoming more common through laparoscopic techniques; however, there is a lack of comprehensive data on the associated complication rates. We undertook a prospective study to contrast the early establishments of laparoscopic and open ventral hernia surgeries in order to fill this gap. The aim of the study was to assess and contrast the efficiency and reliability of open and laparoscopic techniques for the treatment of ventral hernias.
Methods: A prospective study was carried out at All India Institute of Medical Science, New Delhi, India between 2011 and 2014 to assess the dissimilarities between open and laparoscopic approaches in ventral hernia repairs. The study included a total of 40 cases each for open/laparoscopic ventral hernia repair procedures.
Results: Eighty cases were investigated, forty of which underwent open repairs and forty of which underwent laparoscopic procedures. In this study, the oldest patient was 77 years old, and the youngest patient was 25 years old. The vast majority (49%) of patients were in their fourth to sixth decades of life. Incisional hernias were in bulk, that had formed from earlier midline lower scars. In both open and laparascopic surgery, there were 40 patients- 43 females and 37 males.
Conclusions: Ventral hernia repair via laparoscopic surgery is showing encouraging results and is currently a widely used technique. When compared to open repairs, it has benefits like decreased postoperative pain, shorter hospital stays, and fewer short-term problems. Laparoscopic hernia surgery also results in a lower risk of wound infections, an earlier restoration of bowel function, and a quicker return to regular activities.
References
LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3(1):39-41.
Topart P, Ferrand L, Vandenbroucke F, Lozac'h P. Laparoscopic ventral hernia repair with the Goretex Dualmesh: long-term results and review of the literature. Hernia. 2005;9(4):348-52.
Itani KM, Neumayer L, Reda D, Kim L, Anthony T. Repair of ventral incisional hernia: the design of a randomized trial to compare open and laparoscopic surgical techniques. Am J Surg. 2004;188(6):22-9.
Rubby SA, Rangaswamy P, Sundar P. A prospective study comparing laparoscopic and open ventral hernia repair. Int Surg J. 2017;4(1):170-6.
Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004;240(4):578-83.
LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3(1):39-41.
DeMaria EJ, Moss JM, Sugerman HJ. Laparoscopic intraperitoneal polytetrafluoroethylene (PTFE) prosthetic patch repair of ventral hernia. Prospective comparison to open prefascial polypropylene mesh repair. Surg Endosc. 2000;14(4):326-9.
Raftopoulos I, Vanuno D, Khorsand J, Kouraklis G, Lasky P. Comparison of open and laparoscopic prosthetic repair of large ventral hernias. JSLS. 2003;7(3):227-32.
Heniford BT, Park A, Ramshaw BJ, Voeller G. Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias. Ann Surg. 2003;238(3):391-9.
Carbajo MA, Martp del Olmo JC, Blanco JI, Toledano M, de la Cuesta C, Ferreras C, et al. Laparoscopic approach to incisional hernia. Surg Endosc. 2003;17(1):118-22.
Rubby SA, Rangaswamy P, Sundar P. A prospective study comparing laparoscopic and open ventral hernia repair. Int Surg J. 2017;4(1):170-6.
Muysoms F, Daeter E, Vander Mijnsbrugge G, Claeys D. Laparoscopic intraperitoneal repair of incisional and ventral hernias. Acta Chir Belg. 2004;104(6):705-8.
Holzman MD, Purut CM, Reintgen K, Eubanks S, Pappas TN. Laparoscopic ventral and incisional hernioplasty. Surg Endosc. 1997;11(1):32-5.
Rubby SA, Rangaswamy P, Sundar P. A prospective study comparing laparoscopic and open ventral hernia repair. Int Surg J. 2017;4(1):170-6.
Muysoms F, Daeter E, Vander Mijnsbrugge G, Claeys D. Laparoscopic intraperitoneal repair of incisional and ventral hernias. Acta Chir Belg. 2004;104(6):705-8.
