Abstract
HEAVYWEIGHT VS LIGHTWEIGHT MESH USE IN LAPAROSCOPIC VENTRAL HERNIA REPAIR: A RANDOMISED CLINICAL TRIAL

Vijay Shrestha*, C. S. Agrawal and Shailesh Adhikary

ABSTRACT

Incisional hernias are a major problems following abdominal surgeries causing physical and emotional stress to the patient and pose a challenge to the surgeons. The choice of mesh and its long term outcome has been a subject of debate in the surgical community. We performed a ramdomised control trial during July 2015-16 incorporating 30 patients with incisional or ventral hernias who underwent laparoscopic repair with either composite (lightweight) or polypropylene (heavyweight) mesh. Outcome was evaluated on the basis of post operative pain, return to full normal activity, complications. There were no major complications though one patient in lightweight group had recurrence and one patient in heavyweight group had chronic pain. The outcome in lightweight group in reference to postoperative pain and return to daily activities was statistically significant as compared to the heavyweight group.

Keywords: Incisional hernias are a major problems following ramdomised post operative in group.


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