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Int Surg J. 2016; 3(4): 1826-1830


Laparoscopic ventral hernia repair with tacker only mesh fixation: single centre experience

Jitendra Kumar, Rajni Raina.

Abstract
Background: Abdominal wall or ventral hernias are common surgical problem in day to day surgical practice. With the time repair of abdominal wall hernia through laparoscopic route becoming more acceptable and popular but still there is wide variation in the way we are fixing the mesh to the abdominal wall. Tacker is one of the commonest and most convenient way, used now a day for fixation of mesh. Aim of this study is to find the result in respect of surgical outcome of laparoscopic ventral hernia repair using only tack for mesh fixation.
Methods: For this retrospective observational study, data in respect of all laparoscopic ventral hernia repair performed with tacker only mesh fixation, as an elective case during the period from 15 October 2013 to 15 February 2016 has been collected and analysed.
Results: Out of total number of thirty-six patients (n=36), 27 were female and 09 were male (F: M = 4:1) with mean age of 42.6113.47, 19.44% was having co-morbid illness and 55.55% was a case of post-surgery incisional hernia. Mean operative time was around 79 minutes and mean post-operative hospital stay was 2.9 days. In 13.88% of cases seromas, in 08.33% cases prolonged pain and 02.77% of cases recurrence was reported.
Conclusions: Laparoscopic ventral hernia repair with tacker only mesh fixation is safe and convenient way for treatment of abdominal wall hernia and its results in respect of surgical outcomes and recurrences are comparable to any other method of ventral hernias surgery.

Key words: Laparoscopic ventral hernia repair, Mesh fixation, Tack fixation, Incisional hernia, Abdominal wall hernia



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