Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery

In the period of of October 1, 2009 to October 1, 2013 Laparoscopic cholecystectomy was attempted in 50 patients suffering from chronic calcular cholecystitis accompanied by umbilical hernia. A retrospective analysis of parameters, including patient demographics, laboratory values, radiologic data, and intraoperative findings, was performed. The objectives of this study were to determine the optimal repair method for umbilical hernias that already exist or are encountered incidentally and to present data regarding potential problems that may occur during LC. Fascia defects on the umbilicus cause technical difficulties during LC. However, there is no consensus yet regarding umbilical defect repair after laparoscopic surgeries. UHR combined with LC result in longer operating time, longer anaesthesia, and risk of increased blood loss. But it has the advantages of single hospital stay, single anaesthesia exposure, less post operative pain and morbidity, early return to work, better cosmesis and more convenient , efficacy and cost effective for the patient

Issued also as CD