COMPARATIVE STUDY BETWEEN LAPAROSCOPIC INTRAPERITONEAL ONLAY (IPOM) AND SUBLAY MESH REPAIR FOR VENTRAL HERNIAS

Background : A protrusion of innermost lining of the coelomic cavity through a defect in the abdominal wall with or without the contents of the abdominal cavity is known as an abdominal hernia¹.Abdominal wall hernias can be groin hernias or ventral hernias. Based on the location of the hernia, primary ventral hernias are classified as midline hernias (epigastric and umbilical) and lateral hernias (spigelian and lumbar). There are many repairs for ventral hernias; among them,” laparoscopic IPOM" and ” sublay” techniques are the most commonly applied techniques for ventral hernia repair. The present study was undertaken to compare the “advantages” and “disadvantages” of mesh hernioplasty in cases of ventral hernias using a sublay versus laparoscopic IPOM approach. Aim: To study and Aims And Objectives : compare laparoscopic IPOM versus sublay techniques of mesh repair in patients for ventral hernias. Objectives: To compare laparoscopic IPOM versus sublay mesh repair in ventral herniaswith respect to: 1. Time taken during surgery for both techniques for hernia repair 2. Post-operative pain 3. Post-operative infections 4. Hospital stay 5. Any recurrences within 6 months. The study was prospective interventional clinical study conducted in Methodology : department of General Surgery in Dr. Pinnamaneni Siddhartha Institute of Medical Sciences and Research Foundation, Hospital. A total of 100 patients diagnosed as ventral hernia were enrolled in the study. 50 patients are operated by laparoscopic IPOM repair and another 50 patients are operated by open sublay mesh approach. The patients are followed for 6 months for any recurrence. 1. Patients admitted and diagnosed clinically as a case o Inclusion Criteria: f ventral hernia in the department of General Surgery of Dr.Pinnamaneni Siddhartha institute of medical sciences and Research foundation, Hospital,Chinaoutpalli, Andhra Pradesh. 2. Patients between age group of 18-85 years. 3. Both male and female patients 4. ASA class I (normal healthy patient) and class II (patient with mild systemic disease) patients17. Exclusion Criteria: 1. Patients of age less than 18 years and more than 85 years 2. Patients who are not willing to give informed consent. 3. Patients with ventral hernia in pregnancy 4. Obstructed/Strangulated hernias which were operated in emergency. 5. ASA class III (patient with severe systemic disease that is not life-threatening) and IV (patient with severe systemic disease that is a constant threat to life of patients17. Our study favors the use of Conclusion: laparoscopic IPOM repair of ventral hernia as it can be used for all sites of ventral hernia with less hospital stay, low duration of surgery ,less rate of complications and low recurrence rate.