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Annals of African Surgery

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Early Experience of Laparoscopic Ventral Hernia Repair in Kenya

BM Ndungu, JK Mburu, K Ondede

Abstract


Background: Laparoscopic ventral hernia repair (LVHR) is gaining  popularity amongst minimal access surgeons with numerous advantages over conventional open repair. We present the first local series of LVHR and analyse morbidity profile of the patients.

Methods: Records of all patients who had LVHR were analysed in relation to hernia characteristics, operative, early and intermediate outcomes.

Results: Twenty-seven patients (23 females, 4 males) had LVHR. Of these, four were primary hernias while rest were incisional. The age range was 16 to 76years. The mean size of the defect was 75 cm2. A composite mesh was used in all the patients except one patient who had a pure  prolene mesh. The mean operative time and hospital stay were 130 minutes and 3 days respectively. There were two conversions and no other major complication. With a follow-up period of 3-36 months, there was one recurrence at the fourth months.

Conclusion: Our initial experience with this modality shows that LVHR is a feasible option with great potential in both treatment success and reduction  of surgical morbidity.


Key Words: Laparoscopy, Laparoscopic ventral hernia repair, Ventral hernia




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