A prospective observational study on intraperitoneal mesh repair for small ventral hernias: Why open prevails over laparoscopic approach

Open IPOM repair can be considered as a favourable option for ventral hernias <3 cm when compared to laparoscopic IPOM repair, primarily due to its shorter operative time, ease of spinal anaesthesia, single incision, shorter learning curve and absence of risks associated with port-site hernias. Higher initial pain in the laparoscopic group can be attributed to the use of absorbable tacks and transfascial sutures. No discernible disparities were observed in terms of chronic pain or recurrence rates between these surgical approaches.