A comparative prospective cross-sectional study of ventral hernia repair by laparoscopic and open technique.

Kritika  Jha; Piyush Kumar  Sinha; Pankaj Kumar  Mishra; Binoy  Kumar

doi:10.51168/sjhrafrica.v7i3.2603

Authors

Kritika Jha Senior resident, Department of General Surgery, Patna Medical College & Hospital, Patna, Bihar, India
piyush kumar Sinha Senior resident, Department of General Surgery, Patna Medical College & Hospital, Patna, Bihar, India
pankaj kumar Mishra Associate Professor, Department of General Surgery, Patna Medical Hospital, Patna, Bihar, India
Binoy kumar Professor (HOD), Department of General Surgery, Patna Medical College & Hospital, Patna, Bihar, India

DOI:

https://doi.org/10.51168/sjhrafrica.v7i3.2603

Keywords:

Laparoscopic ventral hernia morbidity, hospital stay, postoperative pain

Abstract

Background:
Ventral hernia repair is a commonly performed surgical procedure. Open and laparoscopic techniques are widely used, each with distinct advantages and limitations.

Objective:
To compare laparoscopic and open ventral hernia repair in terms of operative time, postoperative pain, complications, and hospital stay.

Methods:
This comparative prospective cross-sectional study was conducted at a tertiary care hospital from (insert exact dates) and included 105 patients diagnosed with ventral hernia. Patients were allocated into open repair (n=55) and laparoscopic repair (n=50) groups based on clinical suitability. Demographic details, operative parameters, and postoperative outcomes were analysed.

Results:
The mean age of participants was comparable between both groups, with a slight female predominance. Laparoscopic repair showed significantly shorter hospital stay (3 ± 1 days vs 6 ± 2 days; p<0.001) and lower postoperative pain (vas 3.2 ± 1.0 vs 6.5 ± 1.2; p<0.001). Operative time was longer in the laparoscopic group (110 ± 20 minutes vs 95 ± 15 minutes; p<0.05). Wound infection was significantly higher in open repair (18% vs 6%; p<0.01), while seroma and recurrence rates were comparable.

Conclusion:
Laparoscopic ventral hernia repair is associated with reduced postoperative pain, shorter hospital stay, and fewer complications, despite longer operative time.

Recommendation:
Laparoscopic repair should be preferred in suitable patients, while open repair remains a viable option where resources or expertise are limited.

References

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Kumar, Chumber S. A comparative and prospective study of ventral hernia repair by laparoscopic and open technique. Int J Res Med Sci. 2024;12(2):517-20.

https://doi.org/10.18203/2320-6012.ijrms20240022