World Journal of Laparoscopic Surgery

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VOLUME 15 , ISSUE 1 ( January-April, 2022 ) > List of Articles

Original Article

A Study of Clinical Profile and Outcome of Open Mesh Repair vs Laparoscopic Mesh Repair of Umbilical Hernia in Public Sector Hospital

Aeiman Saniya, KS Manikanta, Mir Md Noorul Hassan

Keywords : Laparoscopic mesh repair, Open mesh repair, Umbilical hernia

Citation Information : Saniya A, Manikanta K, Hassan MM. A Study of Clinical Profile and Outcome of Open Mesh Repair vs Laparoscopic Mesh Repair of Umbilical Hernia in Public Sector Hospital. World J Lap Surg 2022; 15 (1):35-39.

DOI: 10.5005/jp-journals-10033-1501

License: CC BY-NC 4.0

Published Online: 09-05-2022

Copyright Statement:  Copyright © 2022; The Author(s).


Abstract

Background: When a viscus or part of a viscus protrudes through the umbilicus, it is known as umbilical hernia. These hernias constitute as one of the common hernias of adults. Umbilical hernias are common in individuals with increased intra-abdominal pressure such as obesity, ascites, or chronic abdominal distension including malignancy. Mesh repair in umbilical hernia can be open mesh repair or laparoscopic mesh repair with each having their own advantages and disadvantages. This study attempts to evaluate various operative procedures and postoperative results of umbilical hernia in public sector hospital. Methods: Study was an interventional study with a total sample size of 80. Study population were all the patients admitted with umbilical hernia to the surgical wards of hospitals associated with Bangalore Medical College and Research Institute. The study was conducted from November 2018 to May 2020. After admission, patients fulfilling the inclusion criteria were enrolled into the study and informed written consent was obtained. All the details and investigations of each patient were recorded in the case record form at the baseline visit. In 40 patients, open mesh repair of umbilical hernia was done, and in another 40 patients, laparoscopic mesh repair of umbilical hernia was done. The duration of surgery and various other postoperative complications were recorded. Results: Eighty cases of umbilical hernia were operated, out of which, in 40 patients, open mesh repair was done and, in another 40 patients, laparoscopic mesh repair was done. Thirty-six of 40 patients were females, and 4 of 40 patients were males in the laparoscopic mesh group. Thirty-two of 40 patients were females, and 8 of 40 patients were males who underwent open mesh repair. Mean age was 45.0 years, and mean operating time was 64.75 minutes for open mesh repair group, whereas mean age was 42.37 years and mean operating time was 50.38 minutes for laparoscopic mesh repair group. Operating time showed statistical significance. Conclusion: Laparoscopic mesh repair of umbilical hernia is becoming the procedure of choice in public sector hospitals in terms of decrease operating time, early recovery, less pain and less complications in postoperative period, and reduced duration of hospital stay as compared to open mesh repair of umbilical hernia.


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