Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2019  |  Volume : 32  |  Issue : 2  |  Page : 517-521

Comparative study of laparoscopic versus open repair of incisional hernia


Department of General Surgery, Faculty of Medicine, Menoufia University, Menoufia, Egypt

Correspondence Address:
Ahmed Elghazaly
Tanta Gharbia
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/mmj.mmj_825_17

Rights and Permissions

Objective The aim was to compare between laparoscopic and open repair of incisional hernia regarding the technique and outcome. Background One of the most common complications of laparotomy is incisional hernia, with an estimated incidence of 3–20% after laparotomy. Materials and methods This clinical trial was conducted on 100 patients presented with ventral incisional hernia to Menoufia University Hospital, General Surgery Department, during the period from June 2015 to August 2017. They were randomly distributed into two groups: 50 cases had open repair and 50 cases had laparoscopic repair. Operative and postoperative details were recorded and compared. Follow-up was conducted for 1 year after surgery. Results The mean postoperative hospital stay was longer in the open group than laparoscopic group (2.72 ± 0.68 vs. 1.92 ± 0.69 days, P < 0.001). The total postoperative complications were more in the open group than laparoscopic group (23 vs. 13, P = 0.03). The mean operative time of laparoscopic repair was significant statistically longer than the open repair (151.9 ± 20.07 vs. 106.6 ± 13.77 min, P < 0.001). Short-term postoperative pain was more intense in the open repair group than the laparoscopic group (4.72 ± 1.10 vs. 3.78 ± 1.30, P < 0.001). Conclusion Laparoscopic incisional hernia repair is a safe alternative to open incisional hernia repair. We recommend increased application of laparoscopic repair of incisional hernia and a large multicenter randomized trial with long follow-up to measure the long-term results.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed132    
    Printed6    
    Emailed0    
    PDF Downloaded20    
    Comments [Add]    

Recommend this journal