World Journal of Laparoscopic Surgery

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VOLUME 11 , ISSUE 2 ( May-August, 2018 ) > List of Articles

RESEARCH ARTICLE

Laparoscopic Repair of Non-midline Abdominal Wall Hernia: Retrospective Analysis of Cases done by a Single Surgeon in the Past Four Years

Jitendra Kumar, Rajni Raina

Keywords : Complex hernia, Non-midline ventral hernia, Lateral abdominal wall hernia, Non-midline incisional hernia, Laparoscopic ventral hernia repair

Citation Information : Kumar J, Raina R. Laparoscopic Repair of Non-midline Abdominal Wall Hernia: Retrospective Analysis of Cases done by a Single Surgeon in the Past Four Years. World J Lap Surg 2018; 11 (2):85-89.

DOI: 10.5005/jp-journals-10033-1341

License: CC BY-NC 4.0

Published Online: 01-08-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: Abdominal wall ventral hernias are either midline or nonmidline. Non-midline abdominal wall hernias are not a common entity and even rarer is a lateral ventral hernia. Laparoscopic management of these hernias are surgically challenging, and outcomes are unpredictable. This study aims to evaluate and analyze the results of laparoscopic repair of comparatively rare non-midline hernias done at the tertiary teaching hospital in the span of last four years. Material and methods: For this retrospective descriptive study, from record file, all cases of laparoscopic ventral hernia repair done in the last four years (from 01/01/2012 to 01/01/2016) by the main author at Lady Hardinge Medical College screened and out of these, total of thirteen cases (n-13) of non-midline ventral hernia selected for their data analysis. Results: Out of total thirteen cases (n = 13), a large percentage was of female gender (76.92%), their mean age of the patients were 43 +/- 9.30 years. (SD = 11.41). Range 24–64 years. Most of the patients were overweight with mean weight was 72.846 kg. (SD = 13.369). Mean operating time were 78.84 minutes (SD = 22.62) (range 60-120 minutes). One patient (7.69%) had developed chronic infected discharging sinus which ultimately required removal of mesh. Same and only patient in our series reported recurrence which makes an overall percentage of recurrence 07.69%. Conclusion: Even though non-midline abdominal wall hernias are comparatively atypical in its presentation and challenging for the laparoscopic surgeon, overall patient\'s epidemiology, the surgical outcome in term of recurrence and complications are not much different. Clinical significance: Presentation of a non-midline hernia is atypical and surgically complex which require an experience to handle it.


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