Optimizing ventral hernia repair: our experience with laparoscopic intra-peritoneal onlay mesh plus

Background: Ventral hernia repair remains a challenge, with laparoscopic techniques showing potential for lower recurrence and complications. This study aimed to assess the efficacy of the Laparoscopic intra-peritoneal Onlay mesh plus (LIPOMPlus) approach in ventral hernia repair. Methods: This observational study was conducted at Ibn Sina medical college hospital, Dhaka, Bangladesh, from August 2016 to December 2017, enrolling 75 patients with ventral hernias. Patient demographics, perioperative data, and postoperative outcomes were recorded and analyzed. The primary endpoints included recurrence, postoperative complications, and patient satisfaction. Results: The mean age was 45.6±12.3 years, with a female predominance (53.3%). The average operative time was 95±20 minutes, and the mean hospital stay was 3.2±1.1 days. Complications were minimal: seroma (1.3%), hematoma (2.7%), port site infection (4%) and/or mesh infection (1.3%), and mesh rejection (1.3%). Only 2.7% of patients experienced hernia recurrence. Patients reported high satisfaction (mean score of 8.7±1.3), and the mean time to return to normal activities was 14±4 days. Conclusions: The LIPOMPlus technique for ventral hernia repair demonstrated low complication and recurrence rate, high patient satisfaction, and a favorable recovery profile. These findings support LIPOMPlus as a viable and effective approach for ventral hernia management, warranting further investigation in diverse settings.