Effect observation between open surgery and laparoscopic repair for curing ventral incisional hernia

doi:10.3877/cma.j.issn.1674-0793.2015.03.009

Abstract

Abstract:

Objective

To contrast the effect between laparoscopic repair and open surgery repair for curing ventral incisional hernia (VIH).

Methods

From August 2011 to January 2014, fifty-two patients with VIH undergoing surgical treatment were absorbed as the research object, including 28 cases of laparoscopic group and 24 cases of open surgery group. Operation time, intra-operative blood loss, hospital stay, the site of infection and postoperative pain in the two groups were observed.

Results

Operations of both groups were successful. Compared with laparoscopic group, open surgery group showed significant differences in operation time [(56.43±21.23) min vs (78.12±18.15) min, t=3.924, P<0.01], the length of hospital stay [(5.12±1.18) d vs (7.25±2.45) d, P<0.05], intra-operative bleeding [(12.67±8.87) ml vs (135.18±56.78) ml, P<0.05], and postoperative infection and pain.

Conclusion

Both operations are equally safe, while laparoscopic surgery has obvious advantages in shorter hospital stay, less intra-operative bleeding and lighter postoperative pain.

Key words: Ventral incision hernia, Laparoscopy, Surgery, Patch

Jun Guo, Yingjie Kang, Yadong Qin. Effect observation between open surgery and laparoscopic repair for curing ventral incisional hernia[J]. Chinese Archives of General Surgery(Electronic Edition), 2015, 09(03): 216-218.

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References 9

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组别	例数	手术时间(min)	住院时间(d)	术中出血量(ml)	术后感染(例)	术后复发(例)
腹腔镜手术组	28	56.43±21.23	5.12±1.18	12.67±8.87	0	1
开放手术组组	24	78.12±18.15	7.25±2.45	135.18±56.78	1	2
统计值	?	3.924^a	4.085^a	-6.927^a	1.190^b	0.540^b
P值	?	<0.01	<0.01	0.000	0.275	0.463

组别	例数	手术时间(min)	住院时间(d)	术中出血量(ml)	术后感染(例)	术后复发(例)
腹腔镜手术组	28	56.43±21.23	5.12±1.18	12.67±8.87	0	1
开放手术组组	24	78.12±18.15	7.25±2.45	135.18±56.78	1	2
统计值	?	3.924^a	4.085^a	-6.927^a	1.190^b	0.540^b
P值	?	<0.01	<0.01	0.000	0.275	0.463

组别	例数	术后第1天	术后第2天	术后第3天
腹腔镜手术组	28	6.43±0.4	2.27±0.3	1.12±0.4
开放手术组组	24	8.12±0.6	5.22±0.5	3.25±0.5
t值	?	12.102	26.219	17.062
P值	?	0.001	0.000	0.043

组别	例数	术后第1天	术后第2天	术后第3天
腹腔镜手术组	28	6.43±0.4	2.27±0.3	1.12±0.4
开放手术组组	24	8.12±0.6	5.22±0.5	3.25±0.5
t值	?	12.102	26.219	17.062
P值	?	0.001	0.000	0.043

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