The comparison of laporoscopic and open procedures in ventral-incisional hernia repair

Aim: To compare the results of laparoscopic ventral-incisional hernia repair (LVHO) with open surgery. Materials and Methods: Sixty patients with ventral-incisional hernia underwent hernia repair. Of these patients, 30 (Group 1) underwent LVHO and the other 30 (Group 2) underwent open surgery. The intraperitoneal mesh was used for LVHO and the abdominal on -lay mesh technique was used for open hernia repair. The groups were compared in terms of body mass index (BMI ), anesthesia score values (ASA ), mesh diameter, operative time, hospital stay, visual analog scale (VAS ), recurrence, and complications. Results: There was no statistically significant difference between the groups in terms of BMI and ASA ( p=0.87, P=0.74). The mean operative time was 80.0 (60-150) minutes in Group 1 and 72.5 (45-160) minutes in Group 2 ( p=0.07). The mean hospital stay was 2.3 days (1-9) in Group 1 and 3.5 days (1-20) in Group 2 (p=0.089). The results of VAS value at 72 hours were statistically different between the groups ( p=0.000). Complications were found in 10 patients (33.3%) in Group 1 and 7 patients (23.3%) in Group 2 ( p=0.567). Recurrence was detected in one case (3.3%) in Group 1 and 4 cases (13.3%) in Group 2 ( p=0.35). Discussion: LVHO is as effective and safe as open surgery with less postoperative pain.