A Comparitive Study on Intra Peritoneal Onlay Mesh Repair(ipom) vs Open Onlay Mesh Repair for Ventral Hernia

Abstract

Hernia is defined as abnormal protrusion of viscus through a normal or abnormal weakness in the wall of its containing cavity. Ventral Hernias are second most common type of hernias accounting for 21 to 35% of all verities of hernias. The main danger of all forms of hernia is strangulation and hence need surgical intervention. Repair of ventral hernias can be technically challenging and a myriad of methods have been described. The most important distinctions in describing surgical management of ventral hernias are primary vs mesh repair and open vs laparoscopic repair. Mesh repair became the gold standard in elective management of most ventral hernias. In the recent era of Minimal invasive surgeries, laparoscopic ventral hernia repair is being favoured by patients as well as the surgeons when compared to open repair. There is need to evaluate and compare quality of life and pain scoring postoperatively between open repair and laparoscopic repair of ventral hernias. AIMS & OBJECTIVES- TO COMPARE SURGICAL OUTCOMES OF INTRA PERITONEAL ONLAY MESH REPAIR(IPOM) VS OPEN ONLAY MESH REPAIR FOR VENTRAL HERNIA ON VARIOUS PARAMETERS MATERIAL & METHODS-This study was conducted on 60 pts which were divided in 2 groups (30 Intra peritoneal onlay mesh repair- 30 open onlay mesh repair) CONCLUSION-Laparoscopic ventral hernia repair provides lesser post-operative pain, lesser complications, shorter hospital stay and lesser economic impact as they returned to returned to work early. Thus patients have less morbidity and improved quality of life. LVHR may be considered a primary approach for most ventral and incisional hernias unless contraindicated for laparoscopy