SP 1.01 Evaluation of Early Postoperative Outcomes Following Laparoscopic versus Open Ventral Hernia Repair

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ID: 324012
2026
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Abstract
Abstract Aim To compare the early postoperative outcomes between laparoscopic and open ventral hernia repair in a tertiary-care setting. Methods This prospective comparative study was conducted at the Shaheed Suhrawardy Medical College Hospital and Enam Medical College and Hospital, Dhaka, from January 2024 to July 2025. Seventy-eight patients with ventral hernias were randomized into two equal groups: laparoscopic (n = 39) and open (n = 39). Data on the perioperative outcomes, hospital stay, return to activity and early post-operative complications were collected and analyzed using SPSS 25.0. Results The mean operative time was longer for laparoscopic repair (110.5 ± 28.6 min vs. 85.2 ± 22.1 min, p < 0.001). However, laparoscopic repair resulted in significantly less blood loss (40 ± 25 mL vs. 120 ± 90 mL), lower pain scores, fewer analgesic doses, shorter hospital stay (2.8 ± 1.4 days vs. 5.6 ± 2.9 days) and earlier return to activity (10 days vs. 22 days). However, the mesh-related complications were collectively higher after laparoscopic repair (25.6% vs. 5.1%). Conclusion Laparoscopic ventral hernia repair provides superior short-term recovery benefits but carries an increased risk of wound and mesh-related complications. The choice of technique should therefore be individualized, balancing recovery advantages against the higher risk of mesh-specific morbidity.
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openalex_W7172546046 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Syeda Mehbuba Joty, Ferdous Alam, Noshin Saiyara, Faridul Islam, Mahbuba Akter
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.008
URL
https://doi.org/10.1093/bjs/znag087.008
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