DOI: 10.36347/sjams.2019.v07i08.002

Pages: 2635-2639

Introduction: Though laparoscopic surgery become popular by laparoscopic cholecystectomy, Laparoscopy hernioplasty also has achieved a well-known popularity throughout the world. Some centre of the world, laparoscopic hernioplasty is considered as gold standard. Material & Methods: This was a prospective study conducted from January, 2016 to October, 2019 in the department of surgery, Rajshahi Medical College Hospital, (RMCH), Rajshahi, Bangladesh including several nearest private hospitals. Total number of cases was 107 in number. In total 65 inguinal hernioplasty were performed by TAPP technique except one which is carried out by TEP technique. Polypropylene mesh is used in all groin hernias. Remaining 42 is ventral hernia. (25 incisional hernia, 7 paraumbilical hernia, 5 umbilical hernia, 3 laparoscopic port hernia, 2 epigastric hernia) IPOM (intraperitoneal onlay mesh) repair was considered for ventral hernia. Simple Polypropyline mesh or other composite mesh is used. Regarding anchoring of mesh, suture or tacker fixation is carried out. Results: Age distribution of the series was 28 to 70 years. All groin hernia was in male & ventral hernia was in female. Out of 65 Inguinal hernias 2 developed mesh infection for which mesh was removed. One (01) develop chronic discharging sinus managed by Anti TB drugs & one patient developed chronic pain under Follow up. Out of 42 Ventral (incisional, umbilical, paraumbilical, port hernia & epigastic hernia) 2 patient developed seroma improve by conservative management. One patient developed recurrence within 3 months due to technical error. Conclusion: Laparoscopic hernia repair by mesh is safe, achievable for all kind of abdominal hernia. So it may be considered gold standard technique.