ABSTRACT
IntroductionAbdominal wall hernias are a common surgical problem. Lakhs of patients are affected eachyear, most commonly presenting with primary ventral, incisional, and inguinal hernias.Whether symptomatic or asymptomatic, hernias commonly cause pain or aestheticallydistressing to patients. These concerns, coupled with the risk of incarceration, are the mostcommon reasons patients seek surgical repair of hernias. The presence of a ventral hernia isitself, an indication for repair. The tension-free repair has revolutionized hernia surgery. Theuse of mesh prosthesis to approximate the fascial defect has resulted in a decrease inrecurrence rates for any hernias.Material and methodsA clinical study of 60 cases of ventral hernia has been done during the period from march2019 to April 2021 on inpatient admitted to tertiary care teaching L.G. hospital, Ahmedabadwith follow up period of 6 months.Results• 60 cases of ventral hernias were studied with follow up a period of 6 months. Commonestventral hernia was umbilical hernia which accounts for 60% of cases. Swelling was the mostcommon complaint in 91.66% pts. Mesh repair is the technique of choice for all ventralhernias with large defect. Though retro rectus mesh placement is more physiological.Laparoscopic approach for ventral hernia repair has advantages of good operative fieldvisibility, lessened duration of hospital stays, minimal postoperative scar. Laparoscopic repairis gaining good acceptance in current era and time. Complications in both open approach andlaparoscopic approach remain same.ConclusionIrrespective of advance nourishment and decreased number of pregnancies as compared tothe past, still abdominal wall hernia is not infrequent. Simultaneously; multiple and effectivesurgical techniques and various planes of mesh placement, have increased cure rate up to100% with minimum serious post operative complication.