Short Outcome Evaluation of Laparoscopic Ventral Hernia Repair Ahmed Saleh Mostafa Baghdady, Hussein Ali Mostafa,

Document Type : Original Article

Authors

Department of General surgery, Faculty of Medicine, Aswan University, Egypt

Abstract

Background: Ventral hernia is defined as primary anterior abdominal wall and incision hernia not including the groin. There are number of risk factors that lead to hernia to occur; like wound infection, morbid obesity, immunosuppression, previous operations, prostatism, and surgery for aneurysmal disease. Hernia defect can form within first 5 years of surgery but can occur late as well.
Objective: To evaluate the short-term outcome of laparoscopic ventral hernia repair as regard feasibility and safety, operative time and types of hernias.
Patients and methods: This study is a prospective nonrandomized study. It included forty out of sixty consecutive patients admitted at the Department of General Surgery, Aswan University, Aswan Egypt, with diagnosis of ventral and or incisional hernia in the period from July 2016 to December 2019.
Results: This study included 22 male and 18 female patients. 11 male patients had incisional hernia and 11 patients with ventral hernia. Types of hernias: Twenty-one cases had virgin abdomen with no previous surgeries while 19 cases had previous surgery done before; described as follows: midline laparotomy scar (11), caesarian section scar (5), port site scar (2) and appendectomy scar (1). Operative time: In first 20 operated cases the mean operative time was 120 min while in the last 20 cases with increasing learning curve the operative time starts to reduce markedly, and the mean time became 70 min.
Conclusion: Laparoscopic ventral hernia repair is an appropriate, safe and feasible approach for ventral hernia repair with short operative time.
 
 

Keywords

The Egyptian Journal of Hospital Medicine
Volume 83, Issue 1
April 2021
Pages 1338-1334

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