Open AccessComparative study of laparoscopy and open surgery in the treatment by prosthesis of incisional hernia
Author(s) -
Alexis Mupepe Kumba,
Filippo Banchini,
Setondji GR Attolou,
E Banchini,
Delphin Kuassi Méhinto,
Patrizio Capelli
Publication year - 2019
Publication title -
journal of medical research
Language(s) - English
Resource type - Journals
ISSN - 2395-7565
DOI - 10.31254/jmr.2019.5208
Subject(s) - medicine , laparoscopy , surgery , open surgery , context (archaeology) , incisional hernia , prosthesis , general surgery , hernia , paleontology , biology
Purpose: authors aimed to compare laparoscopy and open surgery in prosthesis repair of incisional hernias. Methods: in this descriptive and analytical retrospective study of 4years, 179 cases were operated by prosthesis, 120 cases of open surgery and 59 cases of laparoscopy. We compared epidemiologic, anatomic and therapeutic variables using SPSS software. Results: programmed cases have more than 30% of chance of being operated by laparoscopy than by open surgery, OR [95% CI] = 0.3 [0.12-0.92]. Clean cases are statistically 8% more likely to be laparoscopically operated than open surgery (OR [95% CI] = 0.08 [0.01-0.68]). Patients operated by laparoscopy were 30% more likely to have less than 5 days of hospitalization compared to those operated by open surgery, hospital stay ≤5 days: OR [95% CI] = 0.3 [0.03- 2.81]. P-value was 0.42 for duration of intervention and 0.024 for complications. Conclusion: clean and programmed cases preferentially benefit from laparoscopy and the hospital stay is reduced. Open surgery is preferred in an infectious context