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Laparoscopic repair of ventral hernias using dual mesh

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

Mussttafa, Muhammad Q., Bakr, Ashraf A., Nada, Ahmad A.

Authors

Ebrahim, Muhammad Yahya

Accessioned

2017-04-26 10:45:26

Available

2017-04-26 10:45:26

type

M.D. Thesis

Abstract

Ventral abdominal wall hernias are a common problem for the general surgeon. Historically, the best results have been obtained with the open Rives-stoppa approach. This is done by fixing a large piece of prosthetic mesh behind the rectus muscle. Extensive dissection is required and can lead to postoperative pain and wound complication such as seroma, haematoma, wound infection, indurations, and recurrence. A laparoscopic approach allows similar mesh placement with minimal dissection with fewer complications, a shorter hospital stay, and possibly a lower recurrence rate when compared to open mesh repair .In this study thirty male and female patients suffering from ventral hernias were included to evaluate the laparoscopic technique. A mesh formed of 2 layers of polypropylene and one layer of polytetrafluroethylene was used .The mean operative time was 67 minutes (43-124) the mean hospital stay was 2 days (1-5). Our complication rate was (33.33%) and included 3 cases (10%) of haematoma, 2 cases (6.66%) of seroma, 2 cases (6.66%) of wound infction and 3 cases (10%) of conversion to open surgery due to dense adhesions and bowel injury. In our study we had no recurrence in an average follow up period of 12 months.Laparoscopic ventral hernia repair can be considered satisfactory due to less tissue manipulation, minimal blood loss, short hospital stay, moderate complication rate and reasonable operating time. It has a learning curve. Improved technical skills result in better outcome.Although these results are encouraging, larger, long term studies are still needed.

Issued

1 Jan 2006

DOI

http://dx.doi.org/10.21473/iknito-space/31465

Details

Type

Thesis

Created At

31 Jan 2023