Browsing by Author "Mittal, Sushil"
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Item Fixation and Non-Fixation of MESH in Transabdominal Preperitoneal Hernia Repair: A Randomized Study(Ibn Sina Academy of Medieval Medicine & Sciences, 2020-01) Rekhi, Harnam Singh; Mittal, Sushil; Arora, Sahil; Khosa, ArmaanBackground: Transabdominal pre-peritoneal repair is a wellaccepted method of inguinal hernia repair involving bothoptions of fixation or non-fixation of mesh. Objective was toanalyse the comparison between mesh fixation versus nomesh fixation in laparoscopic inguinal hernia repair– TAPP, interms of: operative time, post-operative pain, length of hospitalstay and recurrence.Materials and Methods: This prospective randomised studywas conducted on a sample of 30 male patients whounderwent TAPP inguinal hernia repair. 15 of these underwentfixation and the remaining 15 with non-fixation of mesh.Results: Mesh fixation increases postoperative pain andoperative time. No difference observed in terms of hospital staybetween the 2 groups. Fixation doesn’t prevent recurrence.Conclusion: Mesh non -fixation can be utilised as a safe andeffective approach in TAPP hernia repair.Item Post-Operative Pain and Convalescence in Comparison of Laparoscopic Ventral Hernia Repair Vs Open Ventral Hernia Repair(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-01) Rekhi, Harnam Singh; Mittal, Sushil; Khosa, Armaan; Arora, Sahil; P, Sathya; Singh, GagandeepBackground: Ventral hernia is defined as a fascial defectlocated to the abdominal wall. The laparoscopic repair ofIncisional and ventral hernia is fast becoming the standard ofcare.Objectives: To compare and evaluate the post-operative painand convalescence between two groups.Methods: Study was conducted on 30 cases of ventral herniaadmitted in Rajindra Hospital, Patiala. They were divided intotwo comparison groups (15 cases each). Group A: Openventral hernia repair; Group B: Laparoscopic ventral herniarepair.Results and Conclusions: Laparoscopic repair should be thepreferred method of repair of ventral hernia as it is associatedwith a shorter hospital stay, decreased post-operative pain,better cosmetic results decreased complication rate likerecurrence, and seroma formation, decreased mesh infectionrate, early ambulation period, better patient satisfaction andearly return to activities.