Comparative study between open and laparoscopic ventral hernia repair: A prospective non-randomized single institutional study

Thota, Anuroop; Ravishankar, KS; Rao, K. V. J.; Ramesh, B.; Ananda, B B

doi:10.4103/jdrntruhs.jdrntruhs_115_16

Cited by 6 publications

(18 citation statements)

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“…Our findings were consistent with that of Ekher et al 16 Studies by Thota et al and Pring et al showed that the mean operative time was similar comparable in both groups whereas study by Omli et al showed significant reduced operative time in laparoscopic repair. 12,18,19 The peri-operative complications and the average blood loss were comparable in both groups. The use of the drains, however, was higher in open mesh repair.…”

Section: Discussionmentioning

confidence: 81%

“…2020 Oct;7 (10) 18,22 Thota et al showed significant decrease in postoperative pain after laparoscopic repair. 12 Mishra et al and Lavanchy et al reported that although laparoscopic repair of incisional hernia and ventral hernia was significantly superior to open mesh repair in terms of less intraoperative blood loss, fewer surgical site infection, reduced hospital stay and better cosmetic outcomes, there were no significant differences in the postoperative pain scores and recurrence of hernias between the two groups. 10,23 Their results are consistent with ours.…”

Section: Discussionmentioning

confidence: 99%

“…Some studies showed the advantages of laparoscopic repair including very small wounds, avoidance of extensive dissection and hence less postoperative pain and need for analgesic, low wound infections and short hospital stay. [11][12][13] While other studies concluded that the outcomes of both approaches were comparable. [14][15][16][17] We conducted this study to present our findings regarding the surgical outcomes, advantages and limitations of both techniques among our patients who presented with primary and recurrent midline incisional hernia and compare our results with similar researches.…”

Section: Discussionmentioning

confidence: 99%

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Incisional hernia: conventional open mesh versus laparoscopic repair; a randomized controlled study

Alsubaiee

2020

Int Surg J

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Background: Incisional hernia is a common complication after laparotomy. Up to now, there is no consensus on the ideal surgical approach of such hernia. The aim of the present study was to compare the surgical outcomes, feasibility and cost effectiveness of the open mesh repair and laparoscopic repair of incisional hernia.Methods: A randomized controlled study conducted between August 2015 and September 2019 in which 64 patients with incisional hernias were randomly selected for either open mesh repair (36 patients) or laparoscopic repair (28 patients).Results: Patients in both groups were similar in their characteristics. The mean operative time was significantly longer in laparoscopic repair than in open mesh repair (128.6±15 minutes versus 89.8±82 minutes, p<0.05). The peri-operative complications and intra-operative blood loss were comparable in the two groups. The use of the drain was significantly higher in open group than in laparoscopic repair group (44.4% versus 10.7%). The overall rate of postoperative complications was similar in both groups, (25% for each group). The rate of wound infection and the length of hospitalization were significantly less in laparoscopic repair group. The results of postoperative pain score, cosmetic outcomes and recurrence rate showed no significant differences between the two groups but patient's satisfaction was significantly higher in laparoscopic repair. p>0.05.Conclusion: Both laparoscopic and conventional open mesh repair of incisional hernia are equivalent and feasible and safe technique. Laparoscopic repair was superior to open mesh repair in term of surgical site infection, hospital stay and patient’s satisfaction only.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Incisional hernia: conventional open mesh versus laparoscopic repair; a randomized controlled study

Alsubaiee

2020

Int Surg J

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“…The observations regarding association of chronic pain with tacker fixation are in alliance with Liot E, and her team who reported no change in the occurrence of chronic pain in group of patients with absorbable tackers, in comparison to non-absorbable 18 Operating time did not differ significantly between LVHR & OVHR as reported by Thota A, and his team that, laparoscopic repair took at an average of 94.35 minutes, while open mesh repair took 92.65 minutes. 19 The mean duration of surgery in the study subjects undergoing LVHR was 100 ± 20 minutes, however, it slightly increased in cases undergoing LVHR for incisional hernia (110 ± 20 minutes). An Egyptian prospective study reported shorter hospital stay in patients that underwent LVHR (1.94± 0.67 days) 20 , this was in agreement with our study in which patients were discharged from hospital after 1.53 ± 1.8 days.…”

Section: Discussionmentioning

confidence: 83%

Post-operative Pain Outcomes of Laparoscopic Ventral Hernia Repair (LVHR): An eight-year experience

Rasul¹,

Ahmed²,

Ali³

et al. 2021

J. Bahria Univ. Med. Dent. Coll.

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Objective:To evaluate post-operative pain, recovery time and standard of living in patients undergoing LVHR in detail. Study design and Setting: This prospective cohort study was conducted at a tertiary care hospital of Karachi, Pakistan,after getting approval from the “National Medical Centre EthicalReview Board”, from January 2011 to December 2019, Methodology: Total n= 577 patients undergoing standard LVHR procedure (defect closed with non-absorbable monofilamentsuture, reinforced with intra-abdominal dual layer mesh, anchored with non-absorbable tacks & sutures). Patient demographics,perioperative & postoperative findings and post-operative pain analysis were investigated and presented as descriptivestatistics. Follow-up was carried out at 1stweek, 2ndweek, 3rdmonthly, 6 monthly and 12 monthly post-operative appointments. Results: During the study period of nine years (January 2011 to December 2019), 577 patients (primary ventral hernia n=232, recurrent ventral hernian=188 patients, incisional hernian=157) underwent LVHR. Mean post-operative hospitalstay was 1.53 ± 1.8 days. Mean post-operative pain assessment onvisual analog scale (VAS) after surgery (0-3days) wasreported to be 38.5±29 by 65 patients out of 577 (11.26%), which significantly decreased at the end of 1st week to 27.9 ± 25.6. Only 3 patients (0.51%) reported chronic pain during the span of 3-6 months. Conclusion: LVHR was associated with considerably less post-operative pain, shorter hospital stay and reduced time of convalescence. It is demonstrated that LVHR to be a safe and superior approach for the repair ventral hernias

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“…While comparing laparoscopic and open hernia repair groups, we found that the incidence of chronic pain (lasting for more than six months) was more after open ventral hernia repair compared to laparoscopic repair. Thota et al also found chronic pain to be associated with patients who underwent open hernia surgery more compared with laparoscopic hernia surgery [10].…”

Section: Discussionmentioning

confidence: 98%

Laparoscopic Versus Open Ventral Hernia Repair: Experience at a Tertiary Care Center in Western Rajasthan

Kalyan¹,

Rathore²,

Verma³

et al. 2022

Cureus

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BackgroundVentral hernias are the second most common type of hernias accounting for 21-35% of all hernia types. Ventral hernia includes incisional, umbilical, epigastric, and Spigelian hernias, among others. Currently, patients and surgeons prefer laparoscopic repair of ventral hernias. This study aimed to compare laparoscopic with open hernia repair in terms of various operative and patient parameters. MethodologyThis was a prospective observational study conducted in the Department of General Surgery, Dr. Sampurnanand Medical College, Jodhpur. All patients admitted with a diagnosis of ventral hernia for mesh repair (open as well as laparoscopic) were included. Laparoscopic and open hernia repair were compared in terms of operative time, postoperative hospital stay, time to resume routine activity, postoperative complications, and recurrence. ResultsAmong the 50 patients included in the study (25 patients each in the laparoscopic and open groups), the mean operative time was 57.52 ± 5.80 minutes in the laparoscopic group and 59.8 ± 11.15 minutes in the open group. The mean hospital stay in the laparoscopy and open groups was 7.4 ± 1.58 days and 9.88 ± 2.96 days, respectively (p-value = 0.0006; significant). Postoperative pain (using the visual analog scale score) was less in patients who underwent laparoscopic surgery (p-value = 0.001; significant). Seroma and surgical site infections were the most common complications which were observed more in the open hernia repair group. Recurrence was seen in one case operated by the open technique. ConclusionsLaparoscopic ventral hernia repair is technically safer, effective, and feasible with better clinical outcomes in patients seeking treatment in a government hospital.

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Comparative study between open and laparoscopic ventral hernia repair: A prospective non-randomized single institutional study

Cited by 6 publications

References 1 publication

Incisional hernia: conventional open mesh versus laparoscopic repair; a randomized controlled study

Incisional hernia: conventional open mesh versus laparoscopic repair; a randomized controlled study

Post-operative Pain Outcomes of Laparoscopic Ventral Hernia Repair (LVHR): An eight-year experience

Laparoscopic Versus Open Ventral Hernia Repair: Experience at a Tertiary Care Center in Western Rajasthan

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