Mohamed Salmon, M (2020) Comparative study between Conventional Laparoscopic Anatomical Repair and Laparoscopic Hybrid Mesh Repair for Ventral Hernias. Masters thesis, Madurai Medical College, Madurai.
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Abstract
The study was undertaken to compare the techniques of laparoscopic hybrid repair of ventral hernias using polypropylene wish with conventional laparoscopic anatomical repairs. To derive the advantages of Laparoscopic Hybrid repair vs conventional laparoscopic anatomical repair with respect to pain after surgery, wound infection, early recurrence and seroma formation. Incisional hernias account for 15% to 20% of all abdominal wall hernias. Umbilical and epigastric hernias account for 10% of hernias. In our study group the mean age for anatomical repair group is 44 and hybrid repair group was 47. Also, of all the ventral hernias umbilical hernias are more common followed by incisional hernias and it also proves that Umbilical hernias are common in males and incisional hernias are common in females. (post PS scar). Both of the repairs had the patients to return to their normal activity early. In 10 months, four patients of laparoscopic anatomical repair group developed recurrence whereas only one developed recurrence in laparoscopic hybrid repair group. This might be because reinforcement by placing a mesh. Thus, laparoscopic hybrid repair is associated with low recurrence and early return to work. Laparoscopic hybrid repair with polypropylene mesh can be used as a safe alternative to IPOM which is costlier. The operating time is longer than the laparoscopic anatomical repair group but because of the risk of recurrence it is not preferred. Thus, laparoscopic anatomical repair with mesh reinforcement is the ideal repair for ventral hernias and polypropylene mesh proves to be a cost-effective alternative to IPOM.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711117 |
| Uncontrolled Keywords: | Hernia, umbilicus, incisional, anatomical repair, hybrid repair, IPOM, Polypropylene mesh. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 02:18 |
| Last Modified: | 10 Feb 2021 02:18 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13976 |
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