This study aims to compare the outcomes of two surgical approaches, open pre-peritoneal mesh repair and laparoscopic intra-peritoneal mesh repair, in the treatment of ventral hernia. A prospective comparative analysis was conducted at NHL Medical College, V.S. Hospital, Ahmedabad, Gujarat, India involving 40 patients diagnosed with ventral hernia. Patients were divided into two groups based on their choice of surgical approach: open pre-peritoneal mesh repair (Group A) and laparoscopic intra-peritoneal mesh repair (Group B). Various clinical parameters, including post-operative pain, duration of hospital stay, operative time and early complications, were assessed. Data analysis was performed using appropriate statistical methods. The study found that laparoscopic intra-peritoneal mesh repair was associated with significantly lower post-operative pain and a shorter duration of hospital stay compared to open pre-peritoneal mesh repair. Operative times did not significantly differ between the two groups. Early complications, including wound seroma, pain, wound infection and hematoma, were more common in the open repair group. Patients undergoing laparoscopic surgery returned to their routine activities earlier. In the treatment of ventral hernia, laparoscopic intra-peritoneal mesh repair offers advantages such as reduced post-operative pain, shorter hospital stays and earlier return to normal activities when compared to open pre-peritoneal mesh repair. This study provides valuable insights for clinicians and patients in selecting the most suitable surgical approach for ventral hernia repair.
Jaydeep V. Bhimani, Manish Bhatiya, Rahul Khokhar and Shubham Samdani. Comparative Study of Open Pre-peritoneal Mesh Repair Versus Laparoscopic Intra-peritoneal Mesh Repair for Ventral Hernia.
DOI: https://doi.org/10.36478/10.59218/makrjms.2023.10.62.66
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2023.10.62.66