Open Versus Laparoscopic Ventral Hernia Repair: A Randomized Clinical Trial.

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery

Background:

• Laparoscopic ventral hernia repair (LVHR) is increasingly adopted globally.
• Advancements in surgical technology drive preference for minimally invasive techniques.

Purpose of the Study:

• To compare short-term operative outcomes of LVHR versus traditional open repair.
• Evaluate key metrics including operative time, pain, hospital stay, and return to activity.

Main Methods:

• Prospective study of 60 patients with non-complicated ventral hernias.
• Randomized division into laparoscopic and open repair groups.
• Statistical analysis with significance set at p < 0.05.

Main Results:

• LVHR had longer operative times (116 min vs 67 min, p<0.01).
• Open repair group reported significantly higher postoperative pain (p<0.01).
• LVHR patients experienced shorter hospital stays (2.17 days vs 6.23 days, p=0.02) and faster return to normal activity (1.47 days vs 2.87 days, p<0.01).

Conclusions:

• LVHR demonstrates significant advantages over open repair.
• Benefits include reduced postoperative pain, shorter hospital stays, and earlier return to normal activities.