INNOVATIONS IN LAPAROSCOPIC HERNIOPLASTY OF VENTRAL HERNIAS
Abstract
Ventral hernias remain a pressing issue in surgical practice, particularly in the context of postoperative ventral hernias. Traditional open hernioplasty is a standard treatment method; however, modern advancements in endovideosurgical techniques may significantly enhance surgical efficacy, reduce postoperative complications, and expedite patient recovery. The purpose of the study. To assess the outcomes of laparoscopic prosthetic hernioplasty in ventral hernia repair and perform a comparative analysis with the conventional open approach. The study evaluated 228 patients who underwent surgical treatment for ventral hernias between 2011 and 2024. Materials and methods of research. The study enrolled 228 patients with ventral hernias treated at the surgical department of a multidisciplinary clinic of Samarkand State Medical University. Patients were divided into two groups: a control group (n=106) undergoing open hernioplasty and a main group (n=122) undergoing laparoscopic prosthetic hernioplasty. Results. Postoperative complications occurred in 43 patients, including 35 cases in the control group and 8 in the main group. Complications comprised bronchopulmonary (n=4), cardiovascular (n=5), and one fatal case following laparotomy hernioplasty. Conclusions. Comparative analysis demonstrated significant advantages of laparoscopic hernioplasty over the open approach, including reduced postoperative pain duration and earlier patient mobilization.