Objective: To evaluate post-operative pain, recovery time and standard of living in patients undergoing LVHR in detail.Study design and Setting: This prospective cohort study was conducted at a tertiary care hospital of Karachi, Pakistan,after getting approval from the “National Medical Centre Ethical Review Board”, from January 2011 to December 2019,Methodology: Total n= 577 patients undergoing standard LVHR procedure (defect closed with non-absorbable monofilamentsuture, reinforced with intra-abdominal dual layer mesh, anchored with non-absorbable tacks & sutures). Patient demographics,perioperative & postoperative findings and post-operative pain analysis were investigated and presented as descriptivestatistics. Follow-up was carried out at 1st week, 2nd week, 3rd monthly, 6 monthly and 12 monthly post-operative appointments.Results: During the study period of nine years (January 2011 to December 2019), 577 patients (primary ventral hernian=232, recurrent ventral hernia n=188 patients, incisional hernia n=157) underwent LVHR. Mean post-operative hospitalstay was 1.53 ± 1.8 days. Mean post-operative pain assessment on visual analog scale (VAS) after surgery (0-3days) wasreported to be 38.5±29 by 65 patients out of 577 (11.26%), which significantly decreased at the end of 1st week to 27.9 ±25.6. Only 3 patients (0.51%) reported chronic pain during the span of 3-6 months.Conclusion: LVHR was associated with considerably less post-operative pain, shorter hospital stay and reduced time ofconvalescence. It is demonstrated that LVHR to be a safe and superior approach for the repair ventral hernias.

Author Name: Shahid Rasul, Hassan Ahmed, Sanum Ali, Surrendar Dawani, Sarah Zahid, Sehrish Hussain, Salman Jafferi, Mansab Ali

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Keywords: Chronic pain, Laparoscopic ventral hernia repair, Post-operative pain, Ventral hernia, Visual analog scale

ISSN: 2220-7562

EISSN: 2617-9482

EOI/DOI: 10.51985/JBUMDC2021048

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