Page 40 - World Journal of Laparoscopic Surgery

Open Mesh Repair vs Laparoscopic Mesh Repair of Umbilical Hernia
Table 8: Distribution of the subjects based on post op complications
Groups
Lap Open Total Chi-square value p value
Postoperative pain N Count 28 17 45 6.14 0.013 *
% 70.0% 42.5% 56.3%
Y Count 12 23 35
% 30.0% 57.5% 43.8%
Seroma N Count 40 26 66 16.97 0.00 *
% 100.0% 65.0% 82.5%
Y Count 0 14 14
% 0.0% 35.0% 17.5%
Wound infection N Count 40 33 73 7.67 0.006 *
% 100.0% 82.5% 91.3%
Y Count 0 7 7
% 0.0% 17.5% 8.8%
* Significant; Significance level, 0.05

Table 9: Comparison of duration of hospital stay between the groups of October 2011 showed that the mean age of presentation was
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using independent sample t-test 48.6 years (24–78 years). A study by Jackson et al. had 25% of
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Min Max Mean Std. deviation Mean diff p value patients between the age-group of 41–50 years. In the present
Lap 3 4 3.30 0.464 −4.7 0.00 * study, the mean age of presentation was 43.69 years and the
youngest patient was 25 years, while the oldest patient was
Open 5 18 8.00 2.582 68 years (Table 10).
* Significant; Significance level, 0.05
Gender
Table 10: Percentage-wise distribution of age-groups The international literature shows a female to male ratio of 3:1 of
Age Total no. of cases Percentage umbilical hernia; this study showed 85% of females and 15% of
25–35 years 14 26.2% males that presented with umbilical hernia. Ellis et al. have shown
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36–45 years 33 38.8% a 64.6% of female patients enrolled in the study. Jackson et al.
46–55 years 23 26.2% have shown a 65% of female patients enrolled in the study, while
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Above 55 years 10 8.8% 35% were males (Table 11).
Total 80 100% Presenting Complaints
In this study, 88.75% of patients presented with swelling over the
Table 11: Genderwise comparison of different studies
umbilicus, while 11.25% of patients presented with swelling over
Gender Present study Jackson et al. Ellis et al. the umbilicus associated with pain. A study conducted Jackson
Male 15% 35% 35.4% et al. showed that 11% of patients presented with swelling and pain,
Female 85% 65% 64.6% while 89% of patients presented with swelling similar to this study
Total 100% 100% 100% (Table 12). 12

Table 12: Comparison of presenting complaints between different Defect Size
studies The mean defect size in this study was 1.70 cm in the group of
Presenting complaint Present study Jackson et al. patients who underwent open mesh repair. The smallest defect
Swelling 88.75% 89% size was 1.0 cm, and the largest defect size was 2.6 cm. The mean
Pain 11.25% 11% defect size in this study for the laparoscopic mesh repair group was
Total 100% 100% 1.66. The smallest defect size was 0.9 cm, and the largest defect
size was 2.6 cm.
to May 2020 were enrolled into the study. Forty patients were
operated by open mesh repair method, and 40 patients were Mean Duration of Surgery
operated by laparoscopic mesh repair method, and the results The mean operating time in this study was higher for open mesh
were analyzed. repair which was about 64.75 ± 10.497 minutes as compared to
the laparoscopic mesh repair which was 50.38 ± 6.44 minutes.
Age The p-value was <0.001 which is statistically significant. The study
Of 80 patients of umbilical hernia, most of the patients were in performed by Gonzalez et al. showed that the mean operating
the age-group of 36–45 years (41.25%). A study conducted by time was 82 ± 9 minutes for open mesh repair and 62 ± 9 minutes
Kulacoglu et al. published online on umbilical hernia in the month for laparoscopic mesh repair of umbilical hernia (Table 13). 14

38 World Journal of Laparoscopic Surgery, Volume 15 Issue 1 (January–April 2022)