Long Term Evaluation of Postoperative Pain and Convalescence Following Different Techniques of Mesh Fixation in Laparoscopic Ventral Hernia Repair
Journal Title: International Journal of Medical Research Professionals - Year 2018, Vol 4, Issue 1
Abstract
Aims: The technique of laparoscopic repair of ventral hernia has almost been standardized but issues like technique of mesh fixation is still area of debate. The purpose of the study is to characterize chronic postoperative pain and convalescence following laparoscopic ventral hernia repair with different techniques of mesh fixation. Materials and Methods: Present study was carried out in patients suffering from Ventral hernia. Patients were worked up thoroughly and randomized into 4 groups. In Group 1 mesh fixation was done by only transfascial sutures. In Group 2 mesh fixation was done by only absorbable tackers. In Group 3 mesh fixation was done by absorbable tackers and sutures. In Group 4 mesh fixation was done by non-absorbable tackers and sutures. Follow up was done till 12th month regarding prolonged postoperative pain, hematoma and seroma formation, infection, foreign body sensation and recurrence. Results: 40 patients were included in the study with 10 in each group. The operating time was significantly low in tackers group (p value is.001). Mesh fixation done by only tackers experienced significantly very low pain scores from day 1 (p-value .001). In long term duration neither of the patients in study groups had experienced pain after 2nd month (p value .114). In patients where only tackers were used foreign body sensation is less than in groups where sutures were used. The cost of the procedure is more than 2.5 times in groups where tackers were used than in group where only transfacial sutures were used. There were no other significant differences in between the groups. Conclusions: With regard to the mesh fixation technique, the suture fixation method is a cost-effective alternative to tacker fixation. Mesh fixation with tackers is easier and faster than transfascial suture fixation. The procedures were equally effective regarding the recurrence rates, complications, hospital stay and chronic pain.
Authors and Affiliations
Sushil Mittal, H. S. Rekhi, Sahil Arora, Srinath Reddy, Sathya. P, Chetan Singla, Dheeraj Manchanda, Arman Khosa
Keywords
Related Articles
- EP ID EP529696
- DOI 10.21276/ijmrp.2018.4.1.041
- Views 66
- Downloads 0
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