INTERNATIONAL JOURNAL OF SCIENTIFIC DEVELOPMENT AND RESEARCH International Peer Reviewed & Refereed Journals, Open Access Journal ISSN Approved Journal No: 2455-2631 | Impact factor: 8.15 | ESTD Year: 2016
open access , Peer-reviewed, and Refereed Journals, Impact factor 8.15
Haseeb Mohammad Khandwaw
, Aamir Hussain Hela , Zahur Hussain
Unique Id:
IJSDR2202020
Published In:
Volume 7 Issue 2, February-2022
Abstract:
Introduction: Ventral wall hernia repair is one of the common procedures being performed today. Ventral hernias occur in approximately 0.5 – 1% of population. Laparoscopic ventral hernia repair (LVHR) has been introduced to practice in the early 1990’s by Karl Leblance. In this techniques, the mesh is placed in the intra-peritoneal position and is fixed to surrounding intact peritoneal wall. The most frequently used methods of fixation are Tacks, with or without trans-fascial abdominal sutures and suture alone. Methods: We conducted a prospective randomised single centre study comparing different mesh fixation techniques for laparoscopic abdominal wall hernias in a parallel group design in Government Medical College, Jammu over a period of two years. All patients between 15 and 80 years of age who required non- urgent laparoscopic surgery for abdominal wall hernias were included. The patients were randomised to three different mesh fixation techniques. Results: In our study, maximum number of patients were in the age group of 36-45 years (42.2%). There were 26 females and 19 males in our study with female to male ratio of 4:3. Severity of pain was compared between three groups in pre operative and post operative period at 3 weeks and 3 months using visual analogue scale from 1 to 10. When compared between two groups at a time using student paired-t test, the difference in VAS score was statistically insignificant. Conclusion: Our randomised study compared three different mesh securing techniques using Absorbable sutures, Non Absorbable sutures and Tackers and could not find any pain reducing advantage of one technique over the other two.
Keywords:
ventral hernias, ventral wall hernia repair, laparoscopic repair if ventral hernias, IPOM, IPOM Plus
Cite Article:
"SUTURE VS TACKS : MESH FIXATION TECHNIQUE IN IPOM", International Journal of Science & Engineering Development Research (www.ijsdr.org), ISSN:2455-2631, Vol.7, Issue 2, page no.123 - 126, February-2022, Available :http://www.ijsdr.org/papers/IJSDR2202020.pdf
Downloads:
000336257
Publication Details:
Published Paper ID: IJSDR2202020
Registration ID:193924
Published In: Volume 7 Issue 2, February-2022
DOI (Digital Object Identifier):
Page No: 123 - 126
Publisher: IJSDR | www.ijsdr.org
ISSN Number: 2455-2631
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