Abstract：Objective To compare the efficacy of laparoscopic and open incisional hernia repair in patients with abdominal incisional hernia. Methods The clinical data of 61 patients who underwent abdominal incisional hernia surgery in our hospital from February 2011 to January 2016 were retrospectively analyzed. They were divided into the laparoscopic group (30 cases) and the open group (31 cases) according to the surgical approach. The intraoperative bleeding volume, the operation time, the rate of using drainage tube, the postoperative pain (the duration of analgesics use), the first flatus time, the incidence of postoperative complication, the length of postoperative hospital stay, the chronic pain rate and the recurrence rate were compared between the two groups. Results The intraoperative bleeding volume in the laparoscopic group was less than that in the open group, and the rate of using drainage tube in the laparoscopic group was lower than that in the open group, and the length of postoperative hospital stay in the laparoscopic group was shorter than that in the open group, the differences were statistically significant (P＜0.01). However, there were no significant differences in the operation time, the postoperative pain, the first flatus time, the total incidence rate of postoperative complication, the chronic pain rate and the recurrence rate between the two groups (P＞0.05). Conclusion The laparoscopic abdominal incisional hernia repair has the same effect as the open operation, but it has the advantages of minimal invasion and shorter postoperative hospital stay.
Rogmark P，Petersson U，Bringman S，et al.Short-term outcomes for open and laparoscopic midline incisional hernia repair： a randomized multicenter controlled trial：the Pro LOVE （prospective randomized trial on open versus laparoscopic operation of ventral eventrations）trial[J].Ann Surg，2013，258（1）：37-45.
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