Method of Ventral Hernia Repair: Our Experience
Keywords:Hernia repair, Incisional hernia, Laparoscopic, Open, Ventral hernia.
Background: Ventral hernias result from weakness in the musculofascial layer of the anterior abdominal
wall. Ventral hernia can be operated through open or laparoscopic approach. Moreover, there are various
options available for mesh placement during the repair. We here report our experience in surgical management
of ventral hernias along with review of published literature along with laparoscopic repair of ventral hernias.
Method: It was a retrospective study of patients who were operated for ventral hernias over a period of 4
years in a teaching hospital of Vadodara SBKS research institute Dhiraj Hospital. All patients irrespective of
age and sex were included. All patients were evaluated by obtaining proper history and performing detailed
physical examination and routine blood investigations. Various intra operative and postoperative parameters
were observed and reported.
Conclusions: The ventral hernia repair can be done by open and laparoscopic technique. Each has its own
advantages and disadvantages. There is no conclusively guidelines about the superiority of one technique
over the other and also no conclusively guidelines for the proper position of mesh placement. The clear
advantages of open technique is avoidance of general anesthesia in many cases (as many ventral hernia
repairs can be done under local anaesthesia), lesser learning curve, cheap meshes can be used, easy to
learn, no requirement of any sophisticated instruments or OT setup and trained staff. The disadvantage of
laparoscopic technique includes the requirement for general anaesthesia (as many ventral hernias can be
performed with local anaesthesia in open technique), need to transverse the abdominal cavity, prolonged
learning curves, requirement of costly meshes and sophisticated equipment and technical staff. However,
laparoscopy has advantage over open hernia repair in terms of reduced postoperative pain, decreased
postoperative complications, reduced length of hospital stays, less time for return to normal activity and
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