Ventral hernias repair by intraperitoneal mesh, laparoscopic versus open surgical repair

ABSTRACT

Two groups of patients were included in this study Group I 10 patients with ventral hernias [7 primary and 3 recurrent] included in this group who were repaired by open surigical repair using intraperitoneal polypropylene mesh implantaion, they were 6 females and 4 males with mean of age 47 years and mean of body mass index 34Kg / m2 and mean size of defect of hernia 120 cm2. Mean operative procedure time was 80 minutes. Complication was 10% chest infection, 20% seroma, 20% wound infection and 10% intestinal ileus no enterocutneous fistule and no recurrence was noted. Group II 10 patient with ventral hernias [All primary] included in this group who had laparoscopic repair. They were 7 females and 3 males with mean of age 46.4 years, with mean of body mass index 31 +/- 9.7 Kg /m2. Mean operative time was 80 minutes, complication was seroma in 30% of patients and intestinal ileus 20%. No enterocutaneous fistula or recurrence was noted. Polypropylene mesh was used, it was available, can withstand infection pliable, strong and inert. laparoscopic repair offers the advantage that it decrease the hospital stays, postoperative pain and wound complication. lntraperitoneal implantation of polypropylene mesh is favored as it doesn't need dissection of intermediate layers which lowers post operative wound infection, haematoma, seroma and withstand infection