A comparative study of laproscopic mesh repair versus open mesh repair for incisional hernia

BACKGROUND: Open Incisional hernia repair is associated with significant morbidity. Now a day’s laparoscopic Incisional hernia repair has evolved as an attractive alternative. AIM AND OBJECTIVES: To compare the outcome of Laparoscopic Incisional hernioplasty and Open hernioplasty in terms of Safety and effectiveness, Duration of nil per oral status after surgery, Post operative pain, Post operative wound complications, Duration of hospital stay, Time required to resume regular activities and Cost effectiveness. METHODS: Fifty patients with Incisional hernia were included in this study. Twenty five patients were underwent laparoscopic mesh repair and twenty five patients were under went open mesh repair. No significant difference between the 2 groups was noted regarding patient demographics. RESULTS: Our study consisted of 50 patients with Incisional hernia 7 of them were males and rest of them were females. Incidence of Incisional hernia is more common in the age group between 41 – 50 years, There is no significant difference between two groups regarding nil per oral status after surgery. Post operative pain, post operative wound complications and duration of hospital stay were less in laparoscopic group than the open group. Patients underwent laparoscopic repair return to their regular activities earlier than open Incisional hernioplasty. Cost of laparoscopic surgery was higher than the open surgery. CONCLUSION: Apart from cost effectiveness Laparoscopic Incisional hernioplasty seems to be superior, more advantageous and a better alternative for open hernioplasty