Incidence of Surgical Site Infections in Laparoscopic VS Open Primary Ventral Hernia Repair

Surgical Site Infections in LVHR verses OVHR

  • Hamza Waqar Bhatti Resident Surgeon, Department of Surgery, Rawalpindi Medical University, Rawalpindi Pakistan
  • Noman Ahmed Chaudhary Graduate, Rawalpindi Medical University, Rawalpindi Pakistan
  • Marryam Riaz Farooqui Resident Surgeon, Department of surgery, Rawalpindi Medical University, Rawalpindi Pakistan
  • Huma Sabir Khan Assistant Professor, Department of Surgery, Rawalpindi Medical University, Rawalpindi Pakistan
  • Sajid Rashid Associate Professor, Department of Surgery, Rawalpindi Medical University, Rawalpindi Pakistan
  • Tayyab Riaz Senior Registrar, Department of Surgery, Abwa Medical College, Khurrianwala, Faisalabad Pakistan
  • Naveed Akhtar Malik Professor, Department of Surgery, Rawalpindi Medical University, Rawalpindi Pakistan
Keywords: Ventral hernia, Surgical site infection, Laparoscopic repair of hernia

Abstract

Background: The ventral hernias found along the midline in anterior abdominal wall, known as “primary midline ventral hernias”, are frequent in the general population. These hernias can be addressed through two primary surgical methods: laparoscopic ventral hernia repair, which involves “intraperitoneal onlay mesh hernioplasty (IPOM)”, and traditional open herniorrhaphy or hernioplasty. Objective: This study was performed to compare the incidence of surgical site infections between the traditional open repair method and the laparoscopic repair technique of ventral hernia. Study Design: Prospective randomized control study. Settings: Surgical Unit-II, Department of Surgery at Benazir Bhutto Hospital in Rawalpindi Pakistan. Duration: January 2020 to 2022. Methods: A total of 60 patients participated, with 30 undergoing “laparoscopic ventral hernia repair (LVHR)” and 30 undergoing “open ventral hernia repair (OVHR)”. Non-probability consecutive sampling technique was employed, and the outcome variable was surgical site infection. Data analysis was conducted using SPSS (Statistical Package for Social Sciences) version 25.0, with the significance determined using the Chi-square test. A p value of ≤ 0.05 was considered as significant. Results: Out of 60 patients, surgical site infection (SSI) was present in a total of 10 patients (16.6%). Out of these 10 patients, 6.6%(n=2) had SSI in the laparoscopic group and 26.6 %(n=8) in open repair. The distribution of these frequencies was significant (p=0.001). Conclusion: Laparoscopic ventral hernia repair has a lower rate of surgical site infection as compared to open ventral hernia repair.

Published
2024-12-31
How to Cite
Hamza Waqar Bhatti, Noman Ahmed Chaudhary, Marryam Riaz Farooqui, Huma Sabir Khan, Sajid Rashid, Tayyab Riaz, & Naveed Akhtar Malik. (2024). Incidence of Surgical Site Infections in Laparoscopic VS Open Primary Ventral Hernia Repair: Surgical Site Infections in LVHR verses OVHR. Annals of Punjab Medical College, 18(4), 295-299. https://doi.org/10.29054/apmc/2024.1616