A Study on Laparoscopic Mesh Repair of Paraumblical Hernia
DOI:
https://doi.org/10.7439/ijbar.v9i9.4858Keywords:
Paraumblical Hernia, Polypropylene meshAbstract
Aim and Objectives : The main objective was to study the safety and complications of laparoscopic PUH repair, to assess the pain in postoperative period, to highlight the early return to normal activity and to evaluate for the recurrence of the hernia.
Methods and Material: The period of study was from January 1st 2012 to December 31st 2016 at St. Martha Hospital. A total of 26 patients between 22-70 years of age who were diagnosed to have para-umbilical hernia was taken into study.
Results: All the 26 patients underwent laparoscopic mesh repair without conversion. Dual mesh (PTFE) was the commonly used mesh with a mean operating time of 128 minutes. There was no intra operative complication. Seroma was found to be the most common post operative complication (15.4%). In the prospective study, 8 patients were evaluated for post operative pain and found that 62.5% had no pain on second postoperative day. The mean postoperative hospital stay was 2.4 days and the mean time taken for return to normal activity was 7 days. There was only one recurrence (3.8%) seen at the follow up period of 48 months. All the patients were cosmetically satisfied.
Conclusion: The following conclusions were made during the course of study: Paraumbilical hernia is more common between the 3rd and 5th decade of life. 1) Women are affected more frequently than men. 2) Laparoscopic paraumbilical hernia mesh repair is an effective and safe procedure with minimal postoperative complications. 3) Seroma being the most common postoperative complication. 4) Patients have a shorter postoperative hospital stay. 5) Postoperatively, pain is minimal and patients return to their normal activity earlier. 6) The recurrence rate is low (3.8%) and cosmetically better as no umbilectomy or drainage is done.
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