COMPARISON OF EXTENDED TOTALLY EXTRA PERITONEAL (ETEP) VS INTRA PERITONEAL ONLAY MESH (IPOM-PLUS) REPAIR FOR MANAGEMENT OF VENTRAL HERNIAS —A RANDOMIZED CONTROLLED TRIAL.

Introduction- There is a need for randomized controlled trials comparing the two most commonly perfomed minimally invasive techniques of ventral hernia repair - eTEP with IPOM plus repair. Aim and ojective- This study was designed to compare the two techniques in terms of early post operative pain, return to daily activities and quality of life after surgery. Design- This was a prospective randomized trial . Methodology- The primary outcome was immediate post-operative pain scores. Operative time, peri operative morbidity, hospital stay, return to daily activities and incremental cost effectiveness ratio were secondary outcomes. Sample size- 60 Results - Early post-operative pain scores were signicantly lower and with a signicantly earlier return to activity in eTEP group (p value < 0.05). Conclusion - eTEP repair is better in terms of lesser early post-operative pain and earlier return to activities in small and medium size defects.