Outcome of Laparoscopic Repair Among Patients with Ventral Hernia Presenting at Tertiary Care Hospital

Murtaza Ayaz; Ayaz Gul; Gul Sharif; Muhammad Adeel; Gulfam Ullah; Aamir Fareed

doi:10.70749/ijbr.v3i5.2635

Authors

Murtaza Ayaz Lady Reading Hospital MTI, Peshawar, Pakistan
Ayaz Gul Lady Reading Hospital MTI, Peshawar, Pakistan
Gul Sharif Lady Reading Hospital MTI, Peshawar, Pakistan
Muhammad Adeel Lady Reading Hospital MTI, Peshawar, Pakistan
Gulfam Ullah Lady Reading Hospital MTI, Peshawar, Pakistan
Aamir Fareed Lady Reading Hospital MTI, Peshawar, Pakistan

DOI:

https://doi.org/10.70749/ijbr.v3i5.2635

Keywords:

Diabetes mellitus, Hernia ventral, Laparoscopy, Postoperative complications, Surgical wounds, Treatment outcome

Abstract

Background: Ventral hernia happens when a part of intestine or tissue start coming out through a weak place in the abdominal wall. Many people develop this problem due to obesity, long pressure, or past surgery. Laparoscopic repair is now used in many hospitals because it gives less pain and faster healing, but still some complications like seroma, wound infection, and recurrence may happen. Objective: To determine the outcome of laparoscopic repair among patients with ventral hernia presenting at tertiary care hospital. Study Design: Descriptive type cross sectional study. Duration and Place of Study: This study was done from July 2024 to January 2025 in the Department of General Surgery, Lady Reading Hospital, Peshawar. Methodology: A total of 158 patients aged 25 to 70 years who had ventral hernia were included. All patients went through laparoscopic repair performed by an experienced surgeon. Early complications like seroma, wound infection, and recurrence were checked during follow-up. Chi-square test and Fisher exact test were used to check associations, and p-value of 0.05 was considered significant. Results: The mean age of patients was 49.06 years. Seroma was seen in 20.30% patients, wound infection in 15.20%, and recurrence in 10.10%. A significant relation was found between diabetes and seroma formation (p = 0.025). No meaningful association was noted between demographic factors and wound infection or recurrence (p > 0.05). Conclusion: Laparoscopic repair of ventral hernia showed good early results with acceptable complication rates. Seroma was the most common problem, and diabetic patients showed higher chances of developing seroma.

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