Comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair

Background: Incisional hernias are common after abdominal surgery. Laparoscopic repair has advantages over open repair. Traditionally, laparoscopic ventral repair of hernia has been done as a bridged repair to accomplish circumferential overlap of the fascial defect. More recently, there has been a...

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Autores principales:	Ayman Elwan, Mohammed Eid
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2019
Materias:	ventral hernia incisional hernia laparoscopy ventral hernia repair (lvhr) fascial closure Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a0e71863cb97464da4e2e901ed0db308
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spelling	oai:doaj.org-article:a0e71863cb97464da4e2e901ed0db3082021-12-02T15:22:19ZComparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair2636-41742682-378010.21608/ijma.2019.12759.1007https://doaj.org/article/a0e71863cb97464da4e2e901ed0db3082019-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_34021_45343ae936ba756af2a7c38760035902.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Incisional hernias are common after abdominal surgery. Laparoscopic repair has advantages over open repair. Traditionally, laparoscopic ventral repair of hernia has been done as a bridged repair to accomplish circumferential overlap of the fascial defect. More recently, there has been a growing trend to do primary fascial closure to reapproximate the fascia before mesh insertion. Aim of the work: to present our experience with laparoscopic ventral and incisional repair of hernia to determine outcomes and different results of fascial defects closure and non-closure. Patient and methods: From January 2016 to April 2018, 68 patients suffering from ventral and incisional hernias were treated in New Damietta University Hospital. Laparoscopic repair was decided for all patients. Results: Operative time for group A ranged from 50-120 minutes (average 96.8 min), 30-90 minutes (average 66 min) for group B. Chronic postoperative pain reported in 12.9% in group A and 6.6% in group B. 16.1% from group A had seroma lasting 4 weeks, while it was reported in 36.7% from group B, which remain for 6 weeks. There were 7 patients from group A complaint of post-operative respiratory embarrassment which resolved conservatively except for one patient, who necessitated ICU admission for two days. No one from group B complaint of post-operative respiratory complications. Conclusion: Although there were no major statistical differences between fascial closure and non-closure groups, the seroma and recurrence were less in fascial closure group.Ayman ElwanMohammed EidAl-Azhar University, Faculty of Medicine (Damietta)articleventral herniaincisional hernialaparoscopy ventral hernia repair (lvhr)fascial closureMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 1, Iss 1, Pp 1-6 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	ventral hernia incisional hernia laparoscopy ventral hernia repair (lvhr) fascial closure Medicine (General) R5-920
spellingShingle	ventral hernia incisional hernia laparoscopy ventral hernia repair (lvhr) fascial closure Medicine (General) R5-920 Ayman Elwan Mohammed Eid Comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair
description	Background: Incisional hernias are common after abdominal surgery. Laparoscopic repair has advantages over open repair. Traditionally, laparoscopic ventral repair of hernia has been done as a bridged repair to accomplish circumferential overlap of the fascial defect. More recently, there has been a growing trend to do primary fascial closure to reapproximate the fascia before mesh insertion. Aim of the work: to present our experience with laparoscopic ventral and incisional repair of hernia to determine outcomes and different results of fascial defects closure and non-closure. Patient and methods: From January 2016 to April 2018, 68 patients suffering from ventral and incisional hernias were treated in New Damietta University Hospital. Laparoscopic repair was decided for all patients. Results: Operative time for group A ranged from 50-120 minutes (average 96.8 min), 30-90 minutes (average 66 min) for group B. Chronic postoperative pain reported in 12.9% in group A and 6.6% in group B. 16.1% from group A had seroma lasting 4 weeks, while it was reported in 36.7% from group B, which remain for 6 weeks. There were 7 patients from group A complaint of post-operative respiratory embarrassment which resolved conservatively except for one patient, who necessitated ICU admission for two days. No one from group B complaint of post-operative respiratory complications. Conclusion: Although there were no major statistical differences between fascial closure and non-closure groups, the seroma and recurrence were less in fascial closure group.
format	article
author	Ayman Elwan Mohammed Eid
author_facet	Ayman Elwan Mohammed Eid
author_sort	Ayman Elwan
title	Comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair
title_short	Comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair
title_full	Comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair
title_fullStr	Comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair
title_full_unstemmed	Comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair
title_sort	comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2019
url	https://doaj.org/article/a0e71863cb97464da4e2e901ed0db308
work_keys_str_mv	AT aymanelwan comparativestudybetweenfascialdefectsclosureandnonclosureinlaparoscopicincisionalandventralherniarepair AT mohammedeid comparativestudybetweenfascialdefectsclosureandnonclosureinlaparoscopicincisionalandventralherniarepair
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Comparative study between fascial defects closure and non-closure in laparoscopic incisional and ventral hernia repair

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