Comparative Analysis between Laparoscopic and Open IPOM Ventral Hernioplasty
Journal
Journal of Health, Medicine and Nursing
Date Issued
2020-11
Author(s)
Panikj, Katarina
Mladenovic, Dragoslav
Dimitrov, Zoran
DOI
10.7176/jhmn/82-02
Abstract
Introduction: In everyday surgical practice, ventral hernia repair is one of the most commonly performed
surgeries worldwide. Ventral hernioplasty can be performed either with open or laparoscopic approach and in this
study both approaches use the IPOM technique of mesh placement. From the clinical experience so far, the
laparoscopic approach is characterized by a lower rate of early postoperative complications, shorter hospital stay
and a period of convalescence.
The aim of the study was to compare early postoperative complications, duration of surgery, hospital stay,
recurrence in the first year and convalescence period between patients undergoing open and laparoscopic access
with IPOM ventral hernioplasty.
Material and methods: The study was designed as a randomized, prospective, comparative study of 63 patients
who met the inclusion criteria, operated by IPOM technique and divided into two groups: open access to 32 patients
and laparoscopic access to 31 patients. Early postoperative complications, duration of surgery, hospital stay,
recurrence in the first year, and convalescence were compared in both groups. Statistical processing and data
analysis was performed in the statistical programme SPSS version 23.0. Values of p <0.05 were taken as
statistically significant.
Results: Regarding the early postoperative complications, it was found that the occurrence of seroma is more
common in the laparoscopic group (p = 0.013), while in open hernioplasty the number of surgical site infections
is significantly higher (p = 0.03). The hospital stay expressed in days is longer in open hernioplasty (p = 000001).
Regarding the duration of the operation (p = 0.8) and the period of convalescence (p = 0.28), there is no statistically
significant difference between the two groups.
Discussion: The results shown by our experience shows that laparoscopic ventral IPOM hernia repair is
characterized by lower rates of SSI, a shorter hospital stay, but without statistical significant benefit in terms of a
period of convalescence, duration of surgery and recidive rate in the first year. Тhe choice of treatment and access
should be based according to individual patient characteristics. A laparoscopic approach, due to its minimal
invasiveness, should be more common in ventral hernioplasty.
surgeries worldwide. Ventral hernioplasty can be performed either with open or laparoscopic approach and in this
study both approaches use the IPOM technique of mesh placement. From the clinical experience so far, the
laparoscopic approach is characterized by a lower rate of early postoperative complications, shorter hospital stay
and a period of convalescence.
The aim of the study was to compare early postoperative complications, duration of surgery, hospital stay,
recurrence in the first year and convalescence period between patients undergoing open and laparoscopic access
with IPOM ventral hernioplasty.
Material and methods: The study was designed as a randomized, prospective, comparative study of 63 patients
who met the inclusion criteria, operated by IPOM technique and divided into two groups: open access to 32 patients
and laparoscopic access to 31 patients. Early postoperative complications, duration of surgery, hospital stay,
recurrence in the first year, and convalescence were compared in both groups. Statistical processing and data
analysis was performed in the statistical programme SPSS version 23.0. Values of p <0.05 were taken as
statistically significant.
Results: Regarding the early postoperative complications, it was found that the occurrence of seroma is more
common in the laparoscopic group (p = 0.013), while in open hernioplasty the number of surgical site infections
is significantly higher (p = 0.03). The hospital stay expressed in days is longer in open hernioplasty (p = 000001).
Regarding the duration of the operation (p = 0.8) and the period of convalescence (p = 0.28), there is no statistically
significant difference between the two groups.
Discussion: The results shown by our experience shows that laparoscopic ventral IPOM hernia repair is
characterized by lower rates of SSI, a shorter hospital stay, but without statistical significant benefit in terms of a
period of convalescence, duration of surgery and recidive rate in the first year. Тhe choice of treatment and access
should be based according to individual patient characteristics. A laparoscopic approach, due to its minimal
invasiveness, should be more common in ventral hernioplasty.
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