Comparative Study between Fascial Defects Closure and Non-closure in Laparoscopic Incisional and Ventral Hernia Repair
Elwan, A., Eid, M. (2019). Comparative Study between Fascial Defects Closure and Non-closure in Laparoscopic Incisional and Ventral Hernia Repair. EKB Journal Management System, 1(1), 1-6. doi: 10.21608/ijma.2019.12759.1007
Ayman Elwan; Mohammed Eid. "Comparative Study between Fascial Defects Closure and Non-closure in Laparoscopic Incisional and Ventral Hernia Repair". EKB Journal Management System, 1, 1, 2019, 1-6. doi: 10.21608/ijma.2019.12759.1007
Elwan, A., Eid, M. (2019). 'Comparative Study between Fascial Defects Closure and Non-closure in Laparoscopic Incisional and Ventral Hernia Repair', EKB Journal Management System, 1(1), pp. 1-6. doi: 10.21608/ijma.2019.12759.1007
Elwan, A., Eid, M. Comparative Study between Fascial Defects Closure and Non-closure in Laparoscopic Incisional and Ventral Hernia Repair. EKB Journal Management System, 2019; 1(1): 1-6. doi: 10.21608/ijma.2019.12759.1007

Comparative Study between Fascial Defects Closure and Non-closure in Laparoscopic Incisional and Ventral Hernia Repair

International Journal of Medical Arts
Article 1, Volume 1, Issue 1, July 2019, Page 1-6  XML PDF (607.15 K)
Document Type: Original Article
DOI: 10.21608/ijma.2019.12759.1007
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Authors
Ayman Elwan email orcid 1; Mohammed Eid2
1Al-Azhar University, Faculty of Medicine (Damietta), Surgery Department
2Department of Surgery, Faculty of Medicine, Al-Azhar University (Damietta)
Abstract
Background: Incisional hernias are common after abdominal surgery. Laparoscopic repair has advantages over open repair. Traditionally, laparoscopic ventral repair of hernia has been done as a bridged repair to accomplish circumferential overlap of the fascial defect. More recently, there has been a growing trend to do primary fascial closure to reapproximate the fascia before mesh insertion.
Aim of the work: to present our experience with laparoscopic ventral and incisional repair of hernia to determine outcomes and different results of fascial defects closure and non-closure.
Patient and methods: From January 2016 to April 2018, 68 patients suffering from ventral and incisional hernias were treated in New Damietta University Hospital. Laparoscopic repair was decided for all patients.
Results: Operative time for group A ranged from 50-120 minutes (average 96.8 min), 30-90 minutes (average 66 min) for group B. Chronic postoperative pain reported in 12.9% in group A and 6.6% in group B. 16.1% from group A had seroma lasting 4 weeks, while it was reported in 36.7% from group B, which remain for 6 weeks. There were 7 patients from group A complaint of post-operative respiratory embarrassment which resolved conservatively except for one patient, who necessitated ICU admission for two days. No one from group B complaint of post-operative respiratory complications.
Conclusion: Although there were no major statistical differences between fascial closure and non-closure groups, the seroma and recurrence were less in fascial closure group.
Keywords
Ventral Hernia; Incisional Hernia; Laparoscopy Ventral Hernia Repair (LVHR); Fascial Closure
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