Background: The incidence of primary ventral hernias has been relatively static, while the incidence of incisional hernias has increased over time with the increase in the number of abdominal surgeries performed. The repair of ventral wall hernias continues to be a surgical challenge. Laparoscopic ventral hernia repair is nowadays being performed in every laparoscopic center and has become a preferred treatment methodology of ventral hernias. This approach is a feasible option for almost all ventral hernias.
Materials and methods: This was a prospective observational study, conducted in the Department of Surgery, Hamdard Institute of Medical Sciences and Research, New Delhi over a period of 2 years from December 2016 to December 2018. A total of 40 patients who met the inclusion criteria were included in the study. The procedure was done by a single surgical team. The average follow-up ranged from 6 to 12 months.
Results: Out of 40 patients in the age-group of 30–79 years, 24 were females and 16 were males. Fifty-five percent of the patients had incisional hernias with the average defect size ranging from 2 to 4 cm. The average operative time was 71–90 minutes. The hospital stay ranged from 2 to 4 days.There was no major intraoperative complication in our study. There was no conversion to open. Early postoperative pain was noted in 10 patients. Port site infection was noted in one patient and two patients developed postoperative seroma. Chronic pain was noted in one patient at 6 months follow-up. Port site herniation was noted in none. The recurrence of hernia was noted on one patient at the end of the follow-up.
Conclusion: Laparoscopic ventral hernia repair, although sometimes technically challenging is an extremely safe and effective option in the management of ventral hernias. This approach offers a good cosmetic outcome to the patient without compromising on the results of hernia repair.
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