Ventral incisional hernias mesh versus non-mesh repair, eleven years experience at Shaikh Zayed Hospital, Lahore | [Professional Medical Journal • 2011]

Author(s):

1. Haroon Javaid Majid: Department of Surgery Fedral Postgraduate Medical Institute, Lahore, Pakistan

2. Harun Majid Dar: Department of Surgery Fedral Postgraduate Medical Institute, Lahore, Pakistan

3. Muhammad Shafi: Department of Surgery Fedral Postgraduate Medical Institute, Lahore, Pakistan

4. Muhammad Arif Javed: Department of Surgery Fedral Postgraduate Medical Institute, Lahore, Pakistan

Abstract:

Patients & Methods: The total number of patients who underwent surgery for repair of VIH during the study period was 321.There were only 33 patients in Group A (simple suture/Keel repair) while Group B had 288 patients. The most common early postoperative complications seen in both the groups were wound seroma and infection. Post-operative respiratory insufficiency was more common in the obese. Chronic pain and feeling of foreign body was more frequently seen in the mesh group. On the other hand, recurrence rates were far greater in the suture repair group. The overall mortality in the whole series was 3 patients (0.93%). Conclusions: The rates of ventral incisional hernia recurrence and complications are significantly lower after open onlay mesh repair as compared to the open suture repair. However, these results require confirmation by prospective randomized clinical trials which should also include the results of laparoscopic ventral incisional hernia repair which is a new and emerging technique in Pakistan.

Page(s): 228-232

DOI: DOI not available

Published: Journal: Professional Medical Journal, Volume: 18, Issue: 2, Year: 2011

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