About Fathalla Ali
Laparoscopic ventral hernia repair (LVHR) is a well-established surgical treatment option for abdominal hernia that is increasing in popularity. This can mostly be attributed to the minimal invasive nature of laparoscopic surgery and the relatively faster patient recovery and patient satisfaction. There are several laparoscopic methods for conducting laparoscopic ventral hernia repair and there are yet no established standard method for this types of surgery. Of these methods, the method of suturing to close the opening of fascia is one of the most common used methods. However, this method tends to cause tension at the operation site, which can result in postoperative discomfort for the patient. Thus, an alternative method to put a part of peritoneum over the defect before placing of the mesh to further strengthen the closure without having to suture it. Thus, the aim of this research is to prove this alternative method that is peritoneal bridging, to be superior, or non-inferior, to fascia closure suturing in terms of better postoperative outcome for the patient.
The patients will be randomly divided into two equal groups, and the postoperative outcome of the volume of postoperative seroma formation and patient's discomfort, if any, will be determined by other radiologists and surgeons to eliminate potential biases. Also the division into two equal groups will be made by randomly selecting envelope with the name of surgical method on it, and the patient nor myself or anyone else will know the surgical method picket up prior to the operation, and the data collectors will not no after the operation either to further eliminate potential biases that may otherwise have an effect on the results.
Articles in journals
- Ali, F. , Sandblom, G. , Wikner, A. & Wallin, G. (2022). Laparoscopic ventral and incisional hernia repair using intraperitoneal onlay mesh with peritoneal bridging. Hernia, 26 (2), 635-646.
- Ali, F. , Wallin, G. , Fathalla, B. & Sandblom, G. (2020). Peritoneal bridging versus fascial closure in laparoscopic intraperitoneal onlay ventral hernia mesh repair: a randomized clinical trial. BJS Open, 4 (4), 587-592.