Abstract

Two primary methods for treating ventral hernias are laparoscopic and open surgery. Shorter hospital stays and less discomfort following surgery are two advantages of laparoscopic surgery. Studies have also shown that laparoscopic surgery has fewer complications than open surgery. The aim of this study was to compare the outcomes, complications, length of stay, discomfort following surgery, and return to work between laparoscopic and open ventral hernia repairs. Methods This was a prospective observational study with 50 patients over the age of 18 that was carried out at the Government Medical College in Vellore between 2020 and 2022. Purposive sampling was used to choose 25 patients for each group. On postoperative days 1, 3, and 5, the visual analog scale was used to calculate the amount of pain following surgery. On postoperative days 3, 5, 7, and 4, the Eura HS quality of life scale was calculated. Results of the surgery were noted in terms of the emergence of a seroma, wound, or mesh infection. Patients were monitored for up to a year following surgery, starting one and two weeks later. Pearson's chi squared test and Fischer's exact test were used for statistical analysis. Results The majority of the groups started oral intake within 6 hours, with no difference in the time required to start oral fluids. Infections from wounds occurred 72% of the time in the traditional group and none at all in the laparoscopic group. Hospital stay was substantially shorter in the laparoscopic group (2.4 ± 0.5 days) than in the traditional group (7.32 ± 1.07 days) (p < 0.001). While 76% of patients in the laparoscopic group returned to normal activity in less than 14 days, all patients in the traditional group-all but one-took more than that amount of time. There was a statistically significant difference (p < 0.001). Suture removal occurred 7.84 ± 0.69 days earlier in the laparoscopic group than in the traditional group (p < 0.001). Conclusion Compared to open hernia repair, LVHR (Laparoscopic Ventral Hernia Repair) has several advantages, including shorter recovery times, shorter hospital stays, and an earlier return to regular activity with fewer problems

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