ABSTRACT
Objective: compare the outcome of laparoscopic intraperitoneal on lay mesh [IPOM] with open mesh repair in ventral hernias
Material and Methods: seventy patients were divided into two groups of 35 each. Group A= I POM repair and Group B = Mesh hernioplasty
Results: the mean+/-SD age was in group A 44.54+/-7.06 years and 46.40+/-7.14 in group B. Twelve [34%] patients were male in group A, 14 [40%] patients were in group Band 23 [66%] patients were female in group A and 21 [60%] were female in group B with male to female ratio 1: 1.91. There were only 3 [8%] patients had postoperative pain in group A and 10 [28%] patients were in group B [p<0.05] which is statistically significant. In comparison postoperative early surgical site infection in both groups, there was no patient on 3rd postoperative day in both groups. On 10th postoperative day 1 [3%] patient had surgical site infection in group A and 6 [17%] patients had postoperative early surgical site infection in group B [p<0.05] which is statistically significant
Conclusion: laparoscopic approach appears to be as effective, safe, feasible, and cosmetically good procedure. It has fewer rates of early surgical site infection and postoperative pain. Laparoscopic repair is good alternative to the open repair in the treatment of ventral hernias
ABSTRACT
Objective: to evaluate our experience of laparoscopic peptic ulcer repair at National Hospital, Lahore over a one-year period
Material and Methods: a prospective case series study. The National Hospital and Medical Centre, Lahore. Four patients operated from January 2013 to December 2013. Post-operative pain, average hospital stay. Intra-operative and postoperative complications and outcome
Results: average operating time was 95 minutes, Average hospital stay 3.75 days. No intraoperative or operative postoperative complications documented so far
Conclusion: laparoscopic perforated duodenal ulcer repair is an excellent surgical option in selected patients without any added risk of complications