Open versus laparoscopic mesh repair of ventral Hernias: A prospective study

Abstract

Ventral hernia refer to facial defects of the anterolateral abdominal wall through which intermittent or continuous protrusion of preperitoneal fat, intestinal contents, or rarely, an abdominal organ may occur, they are either congenital or acquired. It includes incisional hernias, paraumbilical hernias, umbilical hernia, epigastric hernias and spigelian hernias. Data was collected from Patients admitted with ventral hernia with the help of a proforma containing relevant history, clinical examination, appropriate investigations and surgical details. The study was carried out with ethical clearance by the institutional ethics committee and in conformity with the guidelines for medical research laid out by ICMR and Helsinki declaration. In our study we observed that the mean duration of surgery in open group was 75.8 +/- 30.7 min and in laparoscopic group was 77.3 +/- 22.4 min. Both the groups didn’t differ with respect the duration of surgery. In our study we observed that mean duration of time taken to return to work (RTW) was 24.8+/- 65 and 11.2+/-3.5 days in open and laparoscopic groups respectively. This observation was statistically significant with p value < 0.001.