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Published on: December 23, 2022
The comparison of laparoscopic and open ventral hernia repairs: a prospective randomized study
U Barbaros1, O Asoglu, R Seven
1Department of General Surgery, Istanbul Medical School, Istanbul University, Capa, Istanbul, Turkey. umutbarbaros@yahoo.com
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|November 30, 2006
Summary
Laparoscopic ventral hernia repair offers a shorter hospital stay and fewer mesh infections than open repair. However, it requires longer operation times and may increase seroma risk, necessitating advanced surgical skills.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Ventral hernias pose surgical challenges, with conventional repair linked to significant morbidity.
- The laparoscopic approach is explored as a less invasive alternative for ventral hernia treatment.
Purpose of the Study:
- To prospectively compare the outcomes of open versus laparoscopic ventral hernia repair.
Main Methods:
- A randomized study of 46 patients with ventral hernias (primary and incisional) comparing laparoscopic (n=23) and open (n=23) repair.
- Analysis included demographics, operation time, hospital stay, pain, and complications; statistical analysis used Chi-square and Wilcoxon tests.
Main Results:
- Laparoscopic repair resulted in significantly shorter hospital stays and reduced mesh infections (P < 0.05).
- Operation times were longer in the laparoscopy group (P < 0.05), with a higher incidence of seroma (P < 0.05).
- Postoperative pain was similar between groups (P > 0.05), but laparoscopy had major complications like ileus and missed enterotomy.
Conclusions:
- Laparoscopic ventral hernia repair is as effective as open repair, provided advanced surgical skills and technology are utilized.
- Successful laparoscopic repair hinges on surgeon expertise and appropriate equipment.