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Outcome of four years experience in laparoscopic ventral hernia repair.

Kumar D, Khan H, Qureshi MS - Pak J Med Sci (2015 Jul-Aug)

Bottom Line: Out of 53 patients, 4 (7.5%) had cellulitis at trocar site, seroma in 2(3.7%), 2(3.7%) patient complained of persistent pain postoperatively, port site minor infection was in 2(3.7%) patients, while conversion to open approach was done in 2 (3.7%), postoperative ileus was observed in one (1.8%) patients.This study provides the evidence that, laparoscopic repair with mesh placement in ventral hernia is safe and effective approach compared to open surgical procedure.It has a low complication rate, less hospital stay and low recurrence.

View Article: PubMed Central - PubMed

Affiliation: Dileep Kumar, Registrar General Surgery, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan.

ABSTRACT

Objective: To find out the short term outcomes of laparoscopic ventral hernia repair (LVHR) during the last four years.

Methods: It was a descriptive and prospective case series of 53 consecutive patients out of 107 at Department of General Surgery, Jinnah Post Graduate Medical Center, Unit II, Karachi, from January 2009 to December 2012. These patients were admitted through out patient department with complain of lump, pain and discomfort. Most of the patients were obese. All patients were clinically examined and baseline investigations done. Fifty three (49.5%) patients underwent laparoscopic repair with mesh placement and remaining 54 by open surgical repair.

Results: Among 53 patients, mean age was 46 years range (30 - 55). While females were 33(62.2%) and males 20(37.7%). We observed variety of hernias, in which midline and epigastric hernia were predominant. The commonest symptom was lump and dragging sensation. The duration of symptoms ranged between 6 months to one year. About 53 patients (49.5%) had laparoscopic repair with mesh placement. Average hospital stay was two days. Out of 53 patients, 4 (7.5%) had cellulitis at trocar site, seroma in 2(3.7%), 2(3.7%) patient complained of persistent pain postoperatively, port site minor infection was in 2(3.7%) patients, while conversion to open approach was done in 2 (3.7%), postoperative ileus was observed in one (1.8%) patients.

Conclusions: This study provides the evidence that, laparoscopic repair with mesh placement in ventral hernia is safe and effective approach compared to open surgical procedure. It has a low complication rate, less hospital stay and low recurrence.

No MeSH data available.


Related in: MedlinePlus

Types of Hernias.
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Figure 1: Types of Hernias.

Mentions: There were total 53 patient who had laparoscopic ventral hernia repair, out of which females were 33(62.2%). Mean age was 46.6 years. There were variety of ventral hernia, in which majority were mid line incisional hernias 18(33.9%) and epigastric 10(18.8%). Fig-I.


Outcome of four years experience in laparoscopic ventral hernia repair.

Kumar D, Khan H, Qureshi MS - Pak J Med Sci (2015 Jul-Aug)

Types of Hernias.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4590359&req=5

Figure 1: Types of Hernias.
Mentions: There were total 53 patient who had laparoscopic ventral hernia repair, out of which females were 33(62.2%). Mean age was 46.6 years. There were variety of ventral hernia, in which majority were mid line incisional hernias 18(33.9%) and epigastric 10(18.8%). Fig-I.

Bottom Line: Out of 53 patients, 4 (7.5%) had cellulitis at trocar site, seroma in 2(3.7%), 2(3.7%) patient complained of persistent pain postoperatively, port site minor infection was in 2(3.7%) patients, while conversion to open approach was done in 2 (3.7%), postoperative ileus was observed in one (1.8%) patients.This study provides the evidence that, laparoscopic repair with mesh placement in ventral hernia is safe and effective approach compared to open surgical procedure.It has a low complication rate, less hospital stay and low recurrence.

View Article: PubMed Central - PubMed

Affiliation: Dileep Kumar, Registrar General Surgery, Jinnah Postgraduate Medical Centre (JPMC), Karachi, Pakistan.

ABSTRACT

Objective: To find out the short term outcomes of laparoscopic ventral hernia repair (LVHR) during the last four years.

Methods: It was a descriptive and prospective case series of 53 consecutive patients out of 107 at Department of General Surgery, Jinnah Post Graduate Medical Center, Unit II, Karachi, from January 2009 to December 2012. These patients were admitted through out patient department with complain of lump, pain and discomfort. Most of the patients were obese. All patients were clinically examined and baseline investigations done. Fifty three (49.5%) patients underwent laparoscopic repair with mesh placement and remaining 54 by open surgical repair.

Results: Among 53 patients, mean age was 46 years range (30 - 55). While females were 33(62.2%) and males 20(37.7%). We observed variety of hernias, in which midline and epigastric hernia were predominant. The commonest symptom was lump and dragging sensation. The duration of symptoms ranged between 6 months to one year. About 53 patients (49.5%) had laparoscopic repair with mesh placement. Average hospital stay was two days. Out of 53 patients, 4 (7.5%) had cellulitis at trocar site, seroma in 2(3.7%), 2(3.7%) patient complained of persistent pain postoperatively, port site minor infection was in 2(3.7%) patients, while conversion to open approach was done in 2 (3.7%), postoperative ileus was observed in one (1.8%) patients.

Conclusions: This study provides the evidence that, laparoscopic repair with mesh placement in ventral hernia is safe and effective approach compared to open surgical procedure. It has a low complication rate, less hospital stay and low recurrence.

No MeSH data available.


Related in: MedlinePlus