Laparoscopic management of ventral hernia repair using intraperitoneal synthetic mesh: A 10-year retrospective observational study

Ramesh, B.; Khan, Hosni Mubarak; Kareti, Yashshwini B.

doi:10.1016/j.lers.2021.11.003

Cited by 2 publications

(1 citation statement)

References 28 publications

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“…Complications recorded were grade I in 8 and grade II in 3 patients. Deo et al 13 assessed results of laparoscopic ventral hernia repair using mesh insertion. In the present study 40 patients were operated by this technique.…”

Section: Discussionmentioning

confidence: 99%

Assessment Of Results Of Laparoscopic Ventral Hernia Repair Using Mesh Insertion

2022

pnr

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Background: Ventral hernia is an anterior abdominal wall hernia. The present study was conducted to assess results of laparoscopic ventral hernia repair using mesh insertion.Materials & Methods:58 patients of ventral hernia of both genderswere operated under general anesthesia (GA). LVHR technique was used as Closure technique. Parameters such as type of hernia, mean operative time (mins), post-operative pain on day 3, week 1, 3 and months 3 were recorded.Results: Out of 58 patients, males were 38 and females were 20. Type of hernia was incisional in 34 and umbilical in 24. The mean operative time was 70.4 minutes. Complications recorded were grade I in 8 and grade II in 3 patients. The difference was significant (P< 0.05). Pain on day 1, week 1, week 3and month 3 at trocar site was seen in 58 and 7, at suture site in 58, 12 and 6, at HD sitewas seen in 58and 4 respectively. Conclusion: Laparoscopic ventral hernia repair using mesh is an effective and safe procedure. There was less post-operative pain observed in patients.

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Section: Discussionmentioning

confidence: 99%

Assessment Of Results Of Laparoscopic Ventral Hernia Repair Using Mesh Insertion

2022

pnr

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Study of Laparoscopic Ventral Hernia Repair in a Single Institutional Setup

Jeughale

Gorle

2022

ijsr

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Objective: Incidence of Ventral hernias or anterior abdominal wall hernias is about 2-13% worldwide. Laparoscopic ventral hernia repair (LVHR) technique has proven to be effective treatment option with reduced complications. This study aims to assess the feasibility and outcome of LVHR in a government set up. A prospective observational study of patients of a single government institution was conducted. Surgical technique,Methods: Long- term outcomes such as pain, mesh infections, bowel adhesions, recurrence and feasibility were assessed. Mean age of studyResults: patients was 44.45 years, with highest incidence (33.33%) in the age group of (31-40) years. Male: Female ratio was 1: 2.529. Obesity accounted for predominant risk factor (15 %). Around (31.67 %) patients had other co morbidities like diabetes, hypertension, obesity, COPD and pulmonary tuberculosis. Incision hernia accounted for (50 %). Remaining (50 %) include the epigastria hernia, umbilical hernia, traumatic hernia and spigelian hernia. 44(73.34%) patients had defect size between (2-5) cm, 11(18.33%) patients between (5-10) cm and 5(8.33%) patients less than 2 cm. Mean defect size was 3.51 cm. 54 patients (90 %) having defect size more than 2 cm were operated by laparoscopic Intra peritoneal on lay mesh repair. 6 (10%) patients having defect size less than 2 cm operated by Laparoscopic fascial closure by intracorporeal suturing. Mean surgical time was 55.17 minutes. (Range 40 - 110 minutes). Mean postoperative hospital stay was 2.25 days. 65% of patients got discharged after 2 days. Total 8 (13.33%) patients developed complications which were managed conservatively. 1 (1.67%) patient developed recurrence. There were no mortality and minimum morbidity observed. Although we cannot conclude regarding cost factor, we can vouch that all patients with anyConclusion: primary ventral hernia should have the repair performed by the laparoscopically if technically feasible. Laparoscopic ventral hernia repair is feasible, effective and can be performed as short stay surgery even in government set up.

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Laparoscopic management of ventral hernia repair using intraperitoneal synthetic mesh: A 10-year retrospective observational study

Cited by 2 publications

References 28 publications

Assessment Of Results Of Laparoscopic Ventral Hernia Repair Using Mesh Insertion

Assessment Of Results Of Laparoscopic Ventral Hernia Repair Using Mesh Insertion

Study of Laparoscopic Ventral Hernia Repair in a Single Institutional Setup

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