A study of comparison of perioperative complications in intraperitoneal onlay mesh technique vs extended view totally extraperitoneal ventral hernia repair

Aayush Bansal; Mahinder Pal Kocher; Brijesh Kumar Sharma; Priyesh Aggarwal; Sweksha Sharma

doi:10.18203/2349-2902.isj20243232

Authors

Aayush Bansal Department of Surgery, Mahatma Gandhi Institute of Medical Sciences and Technology, Jaipur, Rajasthan, India
Mahinder Pal Kocher Department of Surgery, Mahatma Gandhi Institute of Medical Sciences and Technology, Jaipur, Rajasthan, India
Brijesh Kumar Sharma Department of Surgery, Mahatma Gandhi Institute of Medical Sciences and Technology, Jaipur, Rajasthan, India
Priyesh Aggarwal Department of Surgery, Mahatma Gandhi Institute of Medical Sciences and Technology, Jaipur, Rajasthan, India
Sweksha Sharma Department of Surgery, Mahatma Gandhi Institute of Medical Sciences and Technology, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/2349-2902.isj20243232

Keywords:

Ventral hernia, e-TEP, IPOM, Technique, Laparoscopic

Abstract

Background: Abdominal hernia occurs through the layers of the abdominal wall at a weak point. Laparoscopic ventral hernia repair (LVHR) is an established treatment for ventral hernias. This study was conducted in patients who underwent e-TEP and IPOM surgery for ventral hernia to characterize postoperative pain, recovery time, and quality of life. Predefined preoperative and peri-operative factors were examined for their potential impact.

Methods: A prospective study on a total of 50 patients who underwent IPOM and e-TEP for ventral hernia was conducted, who fulfilled the inclusion criteria. Patients were randomized by simple random sampling technique and were divided into two groups of 25 each (Group A- e-TEP and Group B- IPOM). Data of both groups were compared and analysed for statistical significance using Chi square test and Student ‘t’ test.

Results: The eTEP approach provides benefits compared to IPOM in terms of reduced hospital stay, earlier return to work and cost effective. However, eTEP is linked to complex learning process and in the end the decision of the surgery type should be made on the basis of specific patient’s conditions, surgeon’s expertise and availability of resources

Conclusions: In study we found that both surgeries were comparable, with each having some benefits over the other.

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