Sadaf Nazir, Abdul Jabbar Mirani, Shua Nasir, Muhammad Saad Tai, Ahmed Ali.
Comparison of diff erent methods of repair of para-umblical hernia, and their associated surgical outcomes.
Pak J Surg Jan ;32(1):22-5.

Object: Th e aim of our study is to compare the eff ectiveness of laparoscopic para umbilical hernia repair, with open repair of para-umblical hernia and the factors associated with each surgical intervention. Method: Th e type of study is a prospective randomized trial, which was conducted at a tertiary care hospital for a period of 2 years from April 2013 to April 2015. Th e patients presenting with para umbilical hernia, who were fi t for operation were included in the study, and divided into two groups accordingly. Group A included patients undergoing laparoscopic repair, while group B included patients undergoing open repair. Various variables of the two procedures were studied and data was analyzed using SPSS 20. Results: Th e total study population consisted of 320 patients, the mean age of the patients being 42.2 +/- 10.01 years in group B, and 38.25 +/- 12.02 years in group A. Th e overall duration of repair was considerably shorter for the open repair group, and the overall incidence of complications was higher in the open repair group. Th e recurrence rate was signifi cant in both the groups ( p<0.05 ) and they were due to post operative wound infection. Th e recurrence rate in laparoscopic group was more in patients who had a bigger size defect. Th e length of hospital stay was shorter for laparoscopic group as compared to the open repair group. Th e cosmetic result was better for the laparoscopic group due to small incision sizes. Conclusion: According to our study based on the various factors studied, laparoscopic hernia repair proved to be a more effective method and provided a safer alternative to the conventional open mesh repair, however more studies are required to solidify our findings.

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