comparison of open and laparoscopic ventral hernia repairs

ABSTRACT

To compare the outcome of open versus laparoscopic ventral hernia repair in terms of duration of surgery, post operative pain and length of hospital stay. A comparative study was carried out at in-patients presenting at Surgical Departments of Benazir Bhutto Hospital, Holy Family Hospital and author's clinics. A total of 100 patients were included in the study and the patients were divided randomly in Group A and Group B, having 50 patients in each group, Group A representing open mesh repair group and Group B laparoscopic repair group. Patients of both groups were observed per-operatively for duration of surgery, postoperatively for length of hospital stay and intensity of postoperative pain. There was no statistically significant difference between two groups for duration of surgery [P >0.96]. Pain was calculated at 2 and 24 hour, using visual analogue scale. Less pain was noted in Group B. Difference of pain score was statistically significant at 2h and 24h [P0< .05]. Average duration of postoperative stay in hours was more in Group A [39.6 hrs] as compared to Group B [31.4 hrs] [P < 0.05]. Laparoscopic ventral hernia repair is beneficial due to less post operative pain and short duration of post operative hospital stay but duration of surgery remained same in both the settings