Comparative study between laparoscopic and open repair of paraumbilical hernia.
This randomized prospective study compared the effectiveness of laparoscopic paraumbilical hernioplasty to the conventional
open technique. Forty patients with paraumbilical hernia were randomly categorized into 2 equal groups. GL treated by laparoscopic
paraumbilical hernioplasty and GO treated by conventional (open) umbilical hernioplasty. The mean length of follow up was
36 months. In GL, mean operative time was 58.1 +/- 15.5 minutes, in GO, it was 42.2 +/- 10.3 minutes (p = 0.0005). Postoperative
pain score 6 hours after surgery was 2.95 +/- 1.19 in GL patients as compared to 6.10 +/- 1.74 in GO ones (p < 0.0001). Mean
hospitalization time was 1.05 +/- 0.224 days in GL versus 1.25 +/- 0.550 days in G O (p = 0.14). There was one conversion
(5%) to the open repair. Postoperative seroma occurred in 2 patients (10%) in GL and 3 patients (15%) in GO. Three patients
(15%) in G O developed surgical site infection. Hernia recurrence was not seen in either 2 Groups. Mean patient satisfaction
score for GL patients was 7.85 +/- 1.27 versus 6.00 +/- 1.69 for GO patients (p = 0.0004).
CONCLUSION: Compared to open repair, laparoscopic repair is technically feasible, safe and effective, with good clinical outcome. It is associated with longer time for surgery but reduced postoperative pain, analgesic requirement, complication and infection rates with earlier return to normal activities.
Department of General Surgery, Faculty of Medicine, Tanta University, Tanta, Egypt.
SourceJournal of the Egyptian Society of Parasitology 42:1 2012 Apr pg 175-82
Pub Type(s)Journal Article
Randomized Controlled Trial