KARIN ÖN DUVARI FITIKLARININ TAMİRİNDE AÇIK VE LAPAROSKOPİK YÖNTEMLERİN SONUÇLARININ KARŞILAŞTIRILMASI

Abstract

Objective: In this study, we compared the results of patients who underwent laparoscopic and open ventral and incisional hernia repair in our clinic during last four years. Materials and Methods: The data of 76 patients who underwent surgery for ventral and incisional hernia between January 2012 and January 2016 in our clinic were analyzed retrospectively. The patients who underwent surgery for other types of abdominal wall hernias (such as inguinal, femoral, Spiegelian etc.) and patients who underwent primary repair without use of mesh were excluded. Forty-three patients (n: 43, 56,5%) whose operation was completed laparoscopically were defined as group1 and 33 patients (n:33, %43,5) who were operated using mesh with onlay technique were defined as group2. The cases were evaluated in terms of demographic data, body mass index (BMI), repair procedures, operation time, duration of hospital stay and postoperative complications. Results: In 44 patients, operation was initiated laparoscopically and in 43 were completed laparoscopically, whereas 33 patients were operated by open surgical technique. There was no significant difference in demographic data between these two groups. In the laparoscopic group, the operation time was significantly higher than the open group. However, the duration of hospital stay was significantly shorter. When the general complication rates during and after the surgery were compared, it was found that group 2 had significantly more complications. When the factors affecting recurrence were compared, it was found that there was no difference between laparoscopic and open techniques, but the history of a previous hernia operation was an important risk factor for recurrence. Conclusion: In our opinion laparoscopy can be safely performed with high patient satisfaction except in cases with very large ventral hernias (≥15 cm).