Title: Laparoscopic Intra Peritoneal Onlay Mesh Repair: Our Experience
Authors: Jitendra T Sankpal, Priyanka Saha, Ameya S Gadkari, Ratanaprabha Jadhav, Supriya S Bhondve, Rukmini Waghmare
DOI: https://dx.doi.org/10.18535/jmscr/v6i3.95
Abstract
Ventral hernia are among the most common pathologic conditions encountered with estimated prevalence of one fourth individuals being born with it, developing, or acquiring a ventral hernia in their lifetime. Ventral hernias include both primary abdominal wall hernia and incisional hernia. Management of ventral hernia is a complex entity owing to heterogeneity of the disease and existing co morbidities like malnutrition , obesity , malnutrition , diabetes , smoking etc.
The laparoscopic intra peritoneal onlay mesh (IPOM) is the new popular emerging technique for repair of ventral hernias. The advantages of laparoscopic IPOM in comparison to open technique have been proved in multiple randomised control studies. The advantages of Laparoscopic IPOM includes lesser post operative pain, less duration of hospital stay, early recovery, lesser seroma formation and lesser recurrence in follow up and better cosmesis and concurrent management of swiss cheese fascial defect. Laparoscopic IPOM can be combined with bariatric procedure, cholecystectomy, appendectomy, diagnostic laparoscopy and gynaecological laparoscopic studies. In our study done at tertiary care hospital 60 patients with ventral hernia underwent laparoscopic IPOM PLUS repair.
Keywords: laparoscopy, IPOM,IPOM plus, outcome, complications, ventral hernia
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