Maaz-ul Hassan, Muhammad Aqil Razzaq, Amna Shahab.
Examine the outcomes of open method and laparoscopic approach for paraumbilical hernia repair.
Pak J Med Health Sci Jan ;13(4):1305-7.

Aim : To examine the outcomes of open method and laparoscopic procedure for the treatment of paraumbilical hernia and compare the findings between both techniques. Study Design: Randomized control trial Place and Duration: Department of General Surgery, Shalamar Hospital, Lahore from 1st January, 2019 to 30th June 2019. Methods: Two hundred patients of both genders with ages above 20 years were included. All the patients were divided in to two groups i .e. Group A consists of 100 patients received open procedure and Group B with 100 patients received laparoscopic approach for para-umbilical hernia repair. Outcomes in term of complications, hospital stay and recurrence rate were examined and compare the results between both groups. Results: There were 70% females and 30% males in Group A and in Group B 34% males and 66% females. Mean age of patients in Group A was 39.20±6.35 years and in Group B it was 41.15±5.40 years. In Group B hospital stay was shorter than Group A (2.45±0.60 days Vs 4.4±1.5 days). According to the wound infection we found significant difference between Group A and Group B (10% and 3%); [p -value <0.05]. In Group A 4% patients had developed wound dehiscence while in Group B none of patient found to have wound dehiscence (p -value <0.05). Recurrence rate was also high in Group A 8% vs 1 % in Group B (p=<0.05). Conclusion: Laparoscopic repair of paraumbilical hernia is safe and effective with lesser complications as compared to open method.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com