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, Pages 1-6 PDF (607.15 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ijma.2019.12759.1007 | ||
| Authors | ||
| Ayman Elwan* 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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