A study on post-operative complications between open versus laparoscopic mesh repair of ventral hernias
Author(s): Dr. Santhosh Urs KS, Dr. Niranjan Murthy and Dr. Kavana D Rao
Abstract: Any condition which tends to weaken the abdominal wall or tends to increase the intra-abdominal pressure may lead to development of hernia. Such as imperfect closure of peritoneum and anterior abdominal wall following laparotomy leading to incisional hernia. Post operatively all our patients, in both the groups received intravenous aqueous paracetamol and/ or Tramadol injections 8th hourly for 24 to 36 hours, unless contraindicated. Post-operative pain scoring was graded according to the Visual Analogue Scale (VAS) which ranges from 0 to 10, no pain to the worst possible pain. Then analgesics were changed patients to oral preparations, to be given on patient demand. In the study who underwent open repair it was observed that postoperative complications i.e, Wound infection, Seroma, Ileus, and hematoma were 13%, 20%, 10%, and 0% respectively. In Laparoscopic repair it was observed that postoperative complications that is, wound infection, Seroma, Ileus, and hematoma were 3.3%, 0%, 23.2%, and 0% respectively. This observation was statistically significant with p value of 0.018.