RESULT OF LAPAROSCOPIC PRIMARY SUTURING AND MESH FIXATION IN INCISIONAL HERNIA

Sanjay Chaube, A. K. Sanwal, M. Jain, Rajkumar Verma

Abstract


Background:  Incisional  hernia  is  any  abdominal  wall  gap  with  or  without  a  bulge  in  the  area  of  postoperative  scar  perceptible  or  palpable  by  clinical  examination  or  imaging.  Incisional  hernia  repair  is  a  most  common  operations.  Open  and  laparoscopic  surgery  are  procedures  for  hernia  repair.

Aims  and  objective:  The  aim  of  the  current  study  was  to  analyze  that  primary  defect  closure  &  mesh  fixation  will  gives  good  result  in  incisional  hernia.

Materials  and  Methods:  A  total  of  84  patients  with  hernia  were  enrolled  and  all  were  treated  with  laparoscopic  repair  procedure.  All  hernia  were  repaired  with  primary  closure  with  mesh.

Results:  38  were  male  and  46  were  female  patients  from  84  enrolled  patients.  Patient’s  age  was  43  ±  41.01  years  of  age.  Out  of  84  patients  28  had  hernia  on  upper  abdominal  and  56  were  on  lower  abdominal.  Size  of  hernia  was  6.5  ±  4.95  cm2.  Total  mean  operation  time  was  109  ±  100.41  min.  Post-operative  stay  was  3.5  ±  2.12  days.  Out  of  84  patients,  2  were  converted  to  open  surgery.  2  cases  were  found  for  recurrence  out  of  84  enrolled  patients.

Conclusion:  Laparoscopic  primary  defect  closure  by  mesh  fixation  gives  a  good  approximation  and  does  not  show  postoperative  bulging  that  gives  more  satisfaction  to  the  patient.


Keywords


Incisional Hernia, Laparoscopy, Open surgery, Mesh

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