LAPAROSCOPIC VENTRAL HERNIA REPAIR

SUCCESS BY USING OMENTUM AS A BARRIER IN PATIENTS PRESENTING WITH VENTRAL HERNIA

Abstract

Introduction: The common practice in laparoscopic ventral hernia repair (LVHR)
is to place a dual mesh to prevent visceral adhesions, as majority of the patients are not able
to afford the expense of these meshes. We use prolene mesh to repair hernia. Objectives: The
aim of this study was to determine the frequency of success of laparoscopic ventral hernia repair
(LVHR) using omentum as a barrier in patients presenting with ventral hernia. Study Design:
Descriptive case series. Setting: Surgical Unit 3, Services Hospital Lahore, Pakistan. Period:
6 months duration from 16th of July 2015 to 15st January 2016. Methods: 60 patients were
selected fulfilling the criteria from Department of General Surgery. 10mm telescope angled at 30
degree was employed. Hernial contents were reduced but the peritoneal sac was left as such.
The prolene mesh was inserted into the abdominal cavity through a port of 10mm diameter
and fixed. Omentum was then sandwiched between abdominal wall and viscera. Patients were
followed-up in OPD for 12 months. Results: Majority of the patients were females (56.7%) with
the mean age of 46.40 years and mean weight of 68 kg. The patients were averagely found
obese with a mean BMI of 25.40kg/m2. Majority of the patients (n=50, 83.3%) had success in
hernia repair. Stratification of patients by age, gender and BMI showed (p-value was >0.05 in all
3 cases) statistically insignificant difference between various subgroups. Conclusion: LVHR is a
useful technique and simple proline mesh with omental barrier is a safe and low-cost alternative
to dual mesh technique.