EVALUATION AND COMPARISION OF EFFECTIVENESS BETWEEN LAPAROSCOPIC AND OPEN VENTRAL HERNIA REPAIR IN TERMS OF RECURRENCE RATE, HOSPITALISATION, SURGICAL OUTCOMES, PERIOPERATIVE COMPLICATIONS, NAUSEA, AND POSTOPERATIVE DISCOMFORT

Abstract

Background: Incisional hernias are among the most frequent surgical problems that arise after laparotomies. Approximately thirty percent of patients who have a laparotomy get incisional hernias that need to be repaired.

Aim: To evaluate and compare the effectiveness of laparoscopic and open ventral hernia repair in terms of recurrence rate, hospitalisation, surgical outcomes, perioperative complications, nausea, and postoperative discomfort.

Methods: Two groups of fifty-two participants each were created from the 104 subjects, and each group had either open mesh repair or laparoscopic hernia repair. Patients with primary or recurrent incisional hernias measuring more than 3 cm and less than 15 cm were included in the study. They received treatment and had their postoperative pain, recurrence rate, hospital admission, postoperative and perioperative complications, morbidity, mortality, operative outcomes, and nausea measured.

Results: In contrast to the laparoscopic repair group II, which required wound drainage in just 3.84% of cases, the open hernia repair group I required wound drainage in 44.23% of its individuals (n = 23). With p<0.001, this difference was statistically significant. Group I, open drainage, had a much larger blood loss (50.3 ml) than the 10.2 ml mean blood loss (p=0.05) that was reported. Comparing the laparoscopic repair group to the open hernia repair group, more problems were seen.

Conclusions: Laparoscopic hernia repair required decreased blood loss and wound drainage. However, compared to open repair, laparoscopy had longer operating times and more perioperative problems. Regardless of the magnitude of the defect, both groups have a comparable recurrence rate.