A Comparison Of Open Mesh Repair With Laparoscopic Repair For Incisional Hernia

Objective: To investigate the value of laparoscopic incisional hernia repair bycontrasting the operation effect of laparoscopic surgery and open surgery on abdominalwall incisional hernia repair. Methods: Retrospectively to analyse the clinical date of120patients of our hospital who have underwent the repairing of abdominal wall incisionalhernia from October2007to September2011.According to the methods of operationthe patients were devided into laparoscopic group (45cases) and open group(75cases).The type of incision hernia, abdominal wall defect size, operation time,postoperative hospitalization time,bleeding volume, postoperative complications andrecurrence rate of two groups were compared and analysed. Results: There were nosignificant difference on common dates, incisional hernia type and complications betweenthe two groups. As to the abdominal wall defect size, the open group is bigger thanlaparoscopic group.Postoperative hospitalization time, operation time, bleeding volumeand postoperative recurrence rates in laparoscopic group were significantly better than thatin the open group and the results have significant difference (P＜0.05). Conclusions:laparoscopic incision hernia repair can repair the defect of abdominal wall and put aMESH on the weak area to strengthen abdominal wall. This type of repair can avoidcutting original incision, avoid separating more abdominal wall tissue. Laparoscopicincision hernia repair is safety and reliable which have smaller trauma, shorterhospitalization time, quick postoperative recovery,shorter operation time and lesscomplications compared with open sugery. Laparoscopic incision hernia repair is an idealoperation method on abdominal incision hernia repair.