Volume : VII, Issue : IV, April - 2017

Comparison of laparoscopic repair of incisional and ventral hernia with tacker or suture mesh fixation– A prospective randomized controlled study

Kuldip Singh, D. P Singh, Suresh Kumar

Abstract :

 Ventral and incisional hernias are commonly encountered condition hernias which can be asymptomatic or cause a considerable degree of discomfort, bulge and pain and may enlarge over time. The laparoscopic repair of incisional and ventral hernia with mesh placement is becoming the standard of care these days.  Commonly used methods of mesh fixation are metallic tacks with or without trans–fascial sutures and transfascial sutures alone. Aim of the study is to compare the recurrence rate, complications and cost of tackers versus transfacial polypropylene sutures for laparoscopic mesh repair of ventral hernias. Sixty patients of ventral hernia or incisional hernia were included and divided into two study groups on the basis of draw of lots. Patients were called on 7th–9th post operative day for removal of stitches and later followed up after 1 month, 3 months and then after 6 months. It was concluded that the suture fixation method is a cost–effective alternative to tacker fixation with equally effective regarding the recurrence rates, complications, hospital stay, chronic pain, quality of life determinants, return of activities and patient satisfaction.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Kuldip Singh, D.P Singh, Suresh Kumar , Comparison of laparoscopic repair of incisional and ventral hernia with tacker or suture mesh fixation– A prospective randomized controlled study, INDIAN JOURNAL OF APPLIED RESEARCH : Volume‾7 | Issue‾4 | April-2017

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