Early Outcomes in Laparoscopic Ventral Hernia Repair in Respect to Mesh Fixation Technique Used: An Observational Study

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Background : Study aims to analyze the early outcome of laparoscopic ventral hernia repair in respect to mesh fixation techniques used such as CapSure™ Permanent Fixation System, ProTack™ Fixation Device, and suturing with 2-0 polypropylene. Materials and Methods : An observational study was conducted with 50 patients undergoing non-emergent LVHR between September 2023 to January 2024. Based on the fixation technique used by the primary surgeon as per hospital protocol, the patients were divided into groups. The severity of the patients’ pain was assessed preoperatively and at 2 weeks, 6 weeks, and 3 months postoperatively by using a visual analogue scale (VAS). Quality of life (QoL) was evaluated by administering a standard health survey before and 3 months after surgery. Results : Fifty patients were analysed in the study, The mean age of the study participants was 51.6 years with a standard deviation (SD) of 10.8 years. The gender distribution was 29 males (58%) and 21 females (42%). Mean pain scores during the 2-week postoperative period were 17.9 (19.8) in Group A, 21.4 (20.1) in Group B, and 11.6 (9.1) in Group C, with a statistically significant difference. Early postoperative complications did not significantly differ among the three groups. Quality of Life (QoL) survey data revealed significant differences in three out of eight health areas analyzed. Conclusion : Among the three-mesh fixation techniques studied, 2-0 polypropylene suturing had significantly less postoperative pain and good quality of life outcomes compared to the other two. This fixation using a suturing technique has a pain reduction advantage. Keywords: Hernia, Ventral hernia, Laparoscopic surgery, Pain, Quality of life, Mesh fixation

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