Role of Laparoscopy in the management of incisional hernia: A comparative study from medical school

Hassan, Yaqoob; Rather, Ajaz Ahmad; Rather, Sanaan Ajaz

doi:10.32592/jsurgery.2022.10.1.104

Volume 10, Issue 1 (2-2022) J Surg Trauma 2022, 10(1): 25-33 | Back to browse issues page

‎ 10.32592/jsurgery.2022.10.1.104

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Hassan Y, Rather A A, Rather S A. Role of Laparoscopy in the management of incisional hernia: A comparative study from medical school. J Surg Trauma 2022; 10 (1) :25-33
URL: http://jsurgery.bums.ac.ir/article-1-300-en.html

Role of Laparoscopy in the management of incisional hernia: A comparative study from medical school

Yaqoob Hassan ^*

, Ajaz Ahmad Rather

, Sanaan Ajaz Rather

MBBS,MS, Senior Resident, Department of General and Minimal Access Surgery, SKIMS Medical College, Srinagar, Kashmir, India

Abstract: (1003 Views)

Introduction: The conventional open repairof incisional hernia requires extensive dissection. The applicability and superiority of the laparoscopy have been evolving overthe last few years.The aim of our study was to compare the surgical outcomes of laparoscopic versus open mesh repair in the management of incisional hernia.
Methods: This prospective comparative study was carried out in the SKIMS Medical College, Hospital, over a period of 5 years. The total of 62 subjects with non-complicated primary incisional hernias between 15-65 years of age were included. Polypropylene mesh in open surgery and Proceed prosthesis(ePTFE Mesh) in laparoscopy was used for repair. After hospital discharge, the patients were attached to the Out-Patient Department for follow-up. The data was collected and analyzed.
Result: The maximum numbers of patients (41.9%) were in the age group of 36-45 years with amale to female ratio of 0.55.32 patients were operated by convention open mesh repair and 30 patients underwentintra-abdominal preperitoneal on-lay mesh repair.30.6% of female patients had history of a lower abdominal caesarean section followed by hysterectomy (17.7%). The majority of males had history of exploratory laparotomy secondary to trauma (17.7%) or peptic ulcer perforation (12.9%). The difference in mean operative time of laparoscopic technique (87±8.62 minutes)and open repair (96.56±9.31minutes) was statistically significant (p-value of 0.05).The difference between the mean duration of hospitalstay in the open repair (5.58±1.69 days) and thelaparoscopy (3.36±1.17 days) was statistically significant. None of our patients expired during the study period.
Conclusion: Laparoscopic management of incisional hernia is a promising alternative to conventional repair with encouraging results.In our study, it was found that laparoscopic repair is safe and resulted in lesser operative time, fewer complications, shorter hospital stay and early return to activity.