Laparoscopic Repair of Ventral Hernia an Early Experience at Khyber Teaching Hospital, Peshawar

Rooh-ul-Muqim; Mohammad Zarin; Aziz Wazir; Javeria Iqbal; Qutb-E-Alam Jan; Muhammad Taimoor Khan; Iftikhar Mohammad Khan; Mehmud Aurangzeb

doi:10.5005/jp-journals-10007-1068

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Laparoscopic Repair of Ventral Hernia an Early Experience at Khyber Teaching Hospital, Peshawar

Rooh-ul-Muqim, Mohammad Zarin, Aziz Wazir, Javeria Iqbal, Qutb-E-Alam Jan, Muhammad Taimoor Khan, Iftikhar Mohammad Khan, Mehmud Aurangzeb

Citation Information : Rooh-ul-Muqim, Zarin M, Wazir A, Iqbal J, Jan Q, Khan MT, Khan IM, Aurangzeb M. Laparoscopic Repair of Ventral Hernia an Early Experience at Khyber Teaching Hospital, Peshawar. World J Lap Surg 2008; 1 (3):35-38.

DOI: 10.5005/jp-journals-10007-1068

Published Online: 01-12-2010

ARTICLE
REFERENCES

Abstract

Objective

To analyze the results and outcome of laparoscopic ventral hernia repair as a relatively new technique in our setup.

Design and duration

Prospective study from June 2007 to June 2008.

Setting

Surgical-D Unit, Khyber Teaching Hospital, Peshawar.

Patients

All the patients undergoing laparoscopic ventral hernia repair

Methodology

The patients were evaluated clinically and by investigations. After appropriate preparation, laparoscopic mesh repair was performed. Intra- and postoperative complications, and the outcomes were noted and the whole data analyzed.

Results

Out of the total 54 cases, 7 (12.96%) were umbilical hernia, 13 (24.07%) paraumbilical, 9 (16.66%) epigastric and 25 (46.29%) were incisional hernia. All patients had mesh repaired, the operating time ranged from 35 minutes to 2 hours in difficult cases with adhesions. All cases were successfully carried out laparoscopically. The complication rate was low with only 3 patients having port-site bleeding, 9 (16.66%) omental bleeding, 2 (3.7%) seroma, 3 (5.55%) had superficial infection. Severe pain in 11 (20.37%) requiring injectable analgesics and only 1 (1.85%) patient had recurrence at 4 months. No mortality and major complication were reported with excellent patient and surgeon satisfaction.

Conclusion

LVHR is a safe procedure with shorter operating time, few complications, short hospital stay, less recurrence and better patient satisfaction.

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