Open Retromuscular Sublay Mesh Repair Versus Laparoscopic Intraperitoneal Onlay Mesh Repair for Ventral Hernias-A Randomized Control Trial
Journal Title: Journal of Surgery Research and Practice - Year 2023, Vol 4, Issue 1
Abstract
Background: The precise treatment of ventral hernias is still a topic of considerable debate. The aim of this study was to compare the methods of open retromuscular sublay versus laparoscopic intraperitoneal onlay mesh repair for ventral hernias. Methods: Following approval by the Institutional Ethics Committee, Rohilkhand Medical College and Hospital, Bareilly, 88 patients were randomly divided into two groups in 1:1 allocation ratio, each compromising 44 patients. Patients characteristics, hernia size and postoperative complications were recorded. Results: Mean operative time was significantly (p= <0.001) lower in the SUBLAY group (55.66±8.34 minutes) than in the IPOM group (68.75±10.44 minutes). The post-operative pain(VAS) was significantly (p=0.001) lower amongst patients of the IPOM group (2.36±0.61) as compared to the sublay (4.52±0.66) group. The hospital stay was significantly (p=0.001) lower among patients of the IPOM group (3.61±2.28 days) than the sublay group (6.50±1.68 days). Conclusion: Laparoscopic repair in medium- and large-sized defects is a feasible and safe approach. IPOM compared to SUBLAY significantly reduces postoperative complications and hospital stay.
Authors and Affiliations
Awadhesh Pratap Singh Parihar, Om Kumar Sharma, Sharad Seth, Rishabh Goel
Keywords
Related Articles
- EP ID EP715205
- DOI https://doi.org/10.46889/JSRP.2023.4109
- Views 157
- Downloads 0
Fournier’s Gangrene and Its Management-A Prospective Study
Background: Fournier’s gangrene is a fatal necrotizing fasciitis of the genitalia and perineum that can lead to infection of the area with various microbes, organ failure, or even death. This study is indented to determi...
Sub-Mucosal Lipoma a Rare Cause of Colonic Obstruction Managed Surgically: Case Series and Literature Review
Sub-mucosal lipomas of the colon, as first described by Bauer in 1757 are fatty tumors, rarely greater than 2 cm in size and hence rarely symptomatic. The vast majority of these tumors are subjected to be found incidenta...
A Rare Vascular Complication in a COVID-19 Patient: A Case Report of Free-Floating Carotid Thrombus
It is now admitted that Coronavirus is related to vascular complications especially thrombotic ones. Mechanism of thrombotic complications is not fully understood. Free-floating carotid thrombus is a rare condition an...
EUS-Directed Transgastric ERCP (EDGE) Versus Laparoscopy-Assisted ERCP (LA-ERCP) For Roux-En-Y Gastric Bypass (RYGB) Anatomy: Systemic Review and Metanalysis
Objective: Laparoscopic-assisted endoscopic retrograde cholangiopancreatography (LA-ERCP) has gained popularity and was considered the preferred therapeutic option across multiple institutions in managing choledocholithi...
The Impact of COVID-19 on Patient Preferences in an Orthopaedic Clinic
Introduction/Purpose: Patient preferences for physician greeting method and attire are impactful but often overlooked aspects of the patient experience, which may be affected by the COVID-19 pandemic. In addition, the us...