Mohannad S Eledreesi, MD, Turki Howiti, MD, Hussam Adi, MD, MMAS, FACS, FASMBS. North West Armed Forces Hospital,Tabuk,Saudi Arabia
Background: Ventral hernia (VH) remains a signficant problem that follow previuos laparotomy. Although an increase evidence is available for the benefit of laparoscopic repair (LR), open repair (OR) is still the first choice for many surgeons.
Objective: Our aim is to compare LR vs OR hernia repair with regard to operative results, perioperative and postoperative complications, and recurrence rate.
Methods: We reviewed the medical records of patients who underwent LR and OR ventral hernia repair in King Salman Armed Forces Hospital, Saudi Arabia from 1/1/2012 till 31/7/2015 with minimum of 12 months follow up.
Results: A total of 121 patients underwent VH repair at King Salman Armed Forces Hospital from 1/1/2012 till 31/7/2015. Of these, 78 were male (64.4 %). The etiologies of the VH were as follows: umbilical (17/121), paraumbilical (87/121), epigastric (2/121), incisional (15/121). The mean age was 43.5 year. The mean fascial defect size was 14.1 ± 2 cm². Comorbidities included diabetes 2.5% and hypertension (7.4%). Mean Body Mass Index (BMI) was 27.2 kg/m². eighty four patients (69.4%) underwent OR. None of LR had conversion. Mean operative time was 76 minute (77minute and 75 minute for OR and LR, respectively). Five cases (4.13 %) had recurrence (4 after OR and one after LR with rate of 3.3% and 0.8 %, respectively). Recurrence rate was 1.6% (n=2) in BMI <30 kg/m² and 2.4% (n=3) in BMI ≥30 kg/m². Seven cases (5.7 %) developed seroma (5 cases in OR and 2 cases in LR with rate of 4.1% and 1.6%, respectively). Five patients had wound infection, 4 in OR and one in LR. Only one case of hematoma rate complicated OR.
Conclusion: LR of VH has better short -term results than OR. However, a larger sample and long term follow up are required.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93804
Program Number: P602
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster