Journal of AdvancedMedical and Dental Sciences Research

Aim: To compare open and laparoscopic ventral hernia repair. Methodology: 80 patients of ventral hernia of both genderwere divided into 2 groups of 40 each. Group I were treated with the retro-rectus mesh repair, and the laparoscopic repairs were treated with the intra-peritoneal on lay dual mesh (IPOM) repair technique. Parameters such as type of hernia, defect size, analgesic days, antibiotics days, hospital stay, return to activities, co- morbidities and complications were recorded. Results: Group I had 25 males and 15 females and group II had 18 males and 22 females. Type was incisional hernia in 8 and 10, epigastric in 6 and 5, umbilical in 14 and 15, ventral in 7 and 6 and spigelian in 5 and 4 in group I and group II respectively. Co- morbidities was asthma in 2 and 1, diabetes in 4 and 1, hypertension in 1 and 3 and obesity in 5 and 2 in group I and group II respectively. Complications was seroma in 4 and 2, wound infection in 5 and 3 and mesh infection in 2 and 0 in group I and II respectively. The difference was significant (P< 0.05). Defect size was 3.62 cm in group I and 3.85 cm in group II, duration of surgery was 1.98 hours in group I and 0.62 hours in group II. Stay at hospital was 5.8 days in group I and 2.3 days in group II. Return to activity was 12.4 days in group I and 5.7 days in group II. Analgesic days was 5.7 in group I and 2.1 in group II and antibiotics days was 2.5 in group I and 1.3 in group II. The difference was significant (P< 0.05). Conclusion: Laparoscopic ventral hernia repair was safe, had shorter operative time, shorter hospital stays, earlier returns to daily activity and fewer complications as compared to open method.