Limits...
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

Hospital Stay.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4590359&req=5

Figure 2: Hospital Stay.

Mentions: Postoperative recovery was uneventful in all. Patients were followed for the complications and we found cellulitis in 4(7.5%) pain at trocar site, 2(3.7%) patients had seroma, 2(3.7%) prolonged pain, conversion to open in 2(3.7%) secondary injury to large bowel, while 2(3.7%) patients developed wound infection and 1(1.8%) prolonged ileus, while there was no hematoma. The hospital stay rages from 3 – 7 days. Fig-II.


Outcome of four years experience in laparoscopic ventral hernia repair.

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

Hospital Stay.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 2: Hospital Stay.
Mentions: Postoperative recovery was uneventful in all. Patients were followed for the complications and we found cellulitis in 4(7.5%) pain at trocar site, 2(3.7%) patients had seroma, 2(3.7%) prolonged pain, conversion to open in 2(3.7%) secondary injury to large bowel, while 2(3.7%) patients developed wound infection and 1(1.8%) prolonged ileus, while there was no hematoma. The hospital stay rages from 3 – 7 days. Fig-II.

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