COMPARATIVE STUDY BETWEEN OPEN AND LAPAROSCOPIC VENTRAL HERNIA REPAIR

Abstract

Introduction: In today's era laparoscopy has gained quite popularity still there is debate on its use for ventral hernia. The main challenges in hernia management lie in deciding the surgical approach and type of repair procedure to perform, that is, laparoscopic or open surgery. A prospective observational comparative study was Material and methods: carried which included 90 patients out of which 45 patients underwent open mesh repair for ventral hernia and 45 patients underwent Laparoscopic mesh repair for ventral hernia were included in the study. Patients were follow up on post operative day 1, day 2, day 10, day 30 and day 60. The average duration of Results: surgery was slightly higher for the patients who underwent laparoscopic repair (95.11 vs 78.26 mins) with a P value of <0.0001 suggestive of statistically signicant difference. The intraoperative blood loss was slightly lower lap repair group but the difference was not signicant statistically (P=0.1347). The mean VAS post operative pain scores were higher for the patients who underwent open hernia repair. Conclusion: The study concluded that laparoscopic repair took more time than compared to the open group of patients. However, the laparoscopic group of patients had a much better post operative outcome in terms of reduced intra operative blood loss and post operative pain