الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Laparoscopic ventral hernia repair is one of the most promising surgeries, with the continuous development of laparoscopic instruments and advanced types of synthetic meshes and tacks used for mesh fixation to the abdominal wall. Objective: to evaluate the recurrence rate of laparoscopic ventral hernia repair with closure and non-closure of the hernia defect in non-complicated ventral hernia cases and to compare the “non-closure” tension free repair of ventral hernia using mesh alone with the “closure” of hernia defect with mesh reinforcement laparoscopically as regard to operative time, hospital stay, seroma formation, visible bulge, hematoma. Patients and Methods: This study was conducted on 50 patients who attended the general surgery clinic at Mansoura University Hospitals from March 2015 to December 2019, who suffer from uncomplicated ventral hernia and their age is over 18 years and the size of the hernia is less than 4 cm. Patient history was taken for all patients, preoperative investigations and a written consent is taked, They were divided into 2 groups, we did mesh repair only without closure of hernia defect in group 1 (25 patients), while the hernia is closed before mesh fixation in group 2 (25 patients). Results: • Both groups demonstrated in insignificant differences in terms of all demographic parameters. • There were statistically significant differences among both groups as regard the procedure (being increased in non-closure type in alone and increased in closure type in cases with GB and Umbilical & right inguinal). • The operative time was demonstrated to be significantly increased among patients in closure type. • Visible bulge was demonstrated to be the only significant adverse events in non-closure group compared to closure one. Conclusion: Laparoscopic ventral hernia repair is a safe and feasible technique, and the great advance in abdominal laparoscopic surgery and advance in the equipments and instruments as well as individual skills makes closure of the hernia defect represents a good alternative to conventional laparoscopic ventral hernia repair (LVHR) with mesh only. The current results are encouraging and demonstrate the safety and feasibility of hernia defect closure, in which the closure group was associated with prolonged operative time but the results were in favor of closure of the defect.