DOI: 10.36347/sjams.2019.v07i12.015

Pages: 3897-3902

Background: Ventral hernias result from weakness in the musculofascial layer of the anterior abdominal wall. Ventral hernia repairs are the day to day performed procedures in general surgery operation theatres. These can be done other through open or laparoscopic approach. Moreover, there are various options available for mesh placement during the repair. We here report our experience in surgical management of ventral hernias along with review of published literature along with laparoscopic repair of ventral hernias. Methods: It was a retrospective study of patients who were operated for ventral hernias over a period of 4 years in a teaching hospital of Gurugram. All patients irrespective of age and sex were included. All patients were evaluated by obtaining proper history and performing detailed physical examination and routine blood investigations. Various intra operative and postoperative parameters were observed and reported. Review of published literature was done along with laparoscopic repair of ventral hernias. Results: The study included 95 patients with 46 males (48.4 2%) and 49 females (51. 58%) with male: female ratio of 1:1.07. The commonest type of hernias encountered were incisional hernias (76.84%), followed by paraumbilical (11. 58%), epigastric (8.42%), umbilical (3.16%). The common index surgeries were gynaecological and obstetrical surgeries. The mean size of defect was 3.36 cm2. The mean number of defects encountered were 1.4 (1-3). The content of most hernias was bowel loops (56. 84%), followed by omentum (43.16%). Anatomical repair was done in 18.95% of patients and mesh repair was done in 81.05% of patients. Polypropylene was used in all the cases. Onlay fixation was done in 67.53% and sublay in 32.4 7% patients. Suction drain was used in 85.2 6% patients. We met with single episode of accidental enterotomy (1.05%) while dissection which was primarily closed, mesh was placed and postoperative period was unremarkable.....................