A COMPARATIVE STUDY BETWEEN LAPAROSCOPIC VERSUS OPEN REPAIR OF INCISIONAL HERNIA AT A TERTIARY CARE INSTITUTE.

Abstract

Introduction Incisional hernia is a bulge or protrusion near or directly along a prior abdominal surgical incision.Repair of ventral hernias has always been challenging because of the distorted anatomy due to previous surgery. With the advancement in technology as well as surgical techniques, laparoscopic incisional hernia repair (LVHR) is more commonly being performed as compared to open repair in various centers throughout the World. Our study aimed to compare the short-term operative outcomes between laproscopic and open repair. Materials and methods Fifty patients diagnosed with non-complicated incisional hernias were included in this prospective study and were randomly divided into the laparoscopic group and the open group. The two groups were compared to evaluate operative time, postoperative pain, length of hospital stay and time taken to return to normal activity. A p-value of less than 0.05 was considered to be statistically signicant. Mean operative time Results was longer in Laproscopic repair (100 min) as compared to open repair (76 min)(p<0.01). Patients experienced more pain on the rst and seventh postoperative days in the open group (p<0.01) and they also had a longer duration of hospital stay as compared to the laparoscopic group . Conclusion Laparoscopic repair carries a signicant advantage over open hernia repair, especially in terms of reduced postoperative pain, duration of hospital stay, and early resumption of normal activity