Open Preperitonial Ventral Hernia Repair in Babylon, Our Experience

Abstract

Backward and Objective: The surgical technique depend on 2 physical laws may rule the ventral hernia physics and its repair. The first is Lapla’s Law, which describe the co- relation of intra-abdominal pressure (P) to the radius(r), tension (T) and thickness of ventral wall (M). This can be given away in following equation: P=TxM/r. this equation describe as the bigger the abdominal l wall radius and the thinner the wall the more tension to wall to induce of ventral hernia. The other law is Pascal’s Law; which statuses that any pressure increase on an enclosed fluid is transmitted undiminished through the fluid and acts equally in all directions. The aim Of this study was to show our experience in repair of ventral hernia by sublay polypropylene light weight mesh taking into account recurrence, complications, discomfort, cosmetic result, and patient satisfaction Patients and Methods: This is prospective descriptive quantitative study for the period from May 2014 to December 2016, at Al-Hilla teaching hospital, Al Immam Ali general hospital and Al-Hyate hospital. 67 patients with different type of ventral hernia had undergone open ventral hernia repair, the surgical technique; all patient received pre-operative intravenous broad spectrum antibiotics, and all patients with BMI more than 30 receive prophylactic anticoagulant. The mesh is a polypropylene mesh of light weight type less than 80gm/m2 (OptileneTM - Braun). Results : we have 67 patients were involved in our study all those patients with ventral hernia were manage as open Preperitonial “sublay” Th e mean age was 38.5 years. The surgical site infection tow cases one female and other male .the seroma formation in 5 cases all are female. Ather recommended complication in other study as intestinal obstruction, recurrent, Enter cutaneous fistula, flap necrosis all are 0 in our study.there is no related completion. Conclusions: In our study we found no recurrence no major complication as intestinal obstruction or fistulaization, but few patient with seroma and Surgical site infection. So we conclude that sublay mesh is one of best way of ventral hernia repair with minimum complications.