Medical Advances and Case Report

Laparoscopic ventral hernia fix of early involvement with Khyber showing emergency clinic Peshawar


Mahmoud Hakamizanjai

To analyze the results and outcome of laparoscopic ventral hernia repair as a relatively new technique in our setup. Prospective study from June 2007 to June 2008. Surgical- D Unit, Khyber Teaching Hospital, Peshawar. All the patients undergoing laparoscopic ventral hernia repair. The patients were evaluated clinically and by investigations. After appropriate preparation, laparoscopic mesh repair was performed. Intra and post operative complications and the outcome were noted and the whole data analyzed. Out of the total 54 cases, 7(12.96%) were umbilical Hernia, 13(24.07%) para umbilical, 9(16.66%) epigastric and 25(46.29%) were incisional hernia. All patients had mesh repaired, the operating time ranged from 35 min to 2 h in difficult cases with adhesions. All cases were successfully carried out laparoscopically. The complication rate was low with only 3 patients having portsite bleeding, 2(3.7%) seroma, 3(5.55%) had superficial infection. Severe pain in 11(20.37%) requiring injectable analgesics and only 1(1.85%) patient had recurrence at 4 months. No mortality or major complication. LVHR is a safe procedure with acceptable operating time, few complications, short hospital stay, few recurrence and better patient satisfaction, as compared to open surgical procedures (Table 3).


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