Comparative study between laparoscopic and open repair of paraumbilical hernia
Joint Authors
Uthman, I. H.
Mutawalli, Y. H.
Bakr, I. S.
Amir, Y. A.
Jabir, M. B.
al-Jawhari, S. A.
Source
Journal of the Egyptian Society of Parasitology
Issue
Vol. 42, Issue 1 (30 Apr. 2012), pp.175-182, 8 p.
Publisher
The Egyptian Society of Parasitology
Publication Date
2012-04-30
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
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 GO 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.
American Psychological Association (APA)
Uthman, I. H.& Mutawalli, Y. H.& Bakr, I. S.& Amir, Y. A.& Jabir, M. B.& al-Jawhari, S. A.. 2012. Comparative study between laparoscopic and open repair of paraumbilical hernia. Journal of the Egyptian Society of Parasitology،Vol. 42, no. 1, pp.175-182.
https://search.emarefa.net/detail/BIM-347735
Modern Language Association (MLA)
Uthman, I. H.…[et al.]. Comparative study between laparoscopic and open repair of paraumbilical hernia. Journal of the Egyptian Society of Parasitology Vol. 42, no. 1 (Apr. 2012), pp.175-182.
https://search.emarefa.net/detail/BIM-347735
American Medical Association (AMA)
Uthman, I. H.& Mutawalli, Y. H.& Bakr, I. S.& Amir, Y. A.& Jabir, M. B.& al-Jawhari, S. A.. Comparative study between laparoscopic and open repair of paraumbilical hernia. Journal of the Egyptian Society of Parasitology. 2012. Vol. 42, no. 1, pp.175-182.
https://search.emarefa.net/detail/BIM-347735
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 181-182
Record ID
BIM-347735