Laparoscopic Ventral Hernia Repair -Minimal Invasive Procedure with Maximum Advantage, Our Experience
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 7
Abstract
Abstract:Laparoscopic ventral hernia repair nowadays is a method of choice because of benefits like - short hospital stay, fixation of large sized mesh apart from the cosmetic benefits. But the mesh and the fixation device are expensive, procedure is challenging in case of previously operated abdomen and malignancies. To discuss our experience and outcome with laparoscopic ventral hernia repair with intraperitoneal on lay mesh (IPOM). 25 Patients who underwent ventral and incisional hernias repair by laparoscopic intra peritoneal on lay mesh repair (IPOM) in a single hospital, from June 2015 to June 2016 by the same single operating team were taken in the study, to standardize the procedure and to evaluate it. Out of 25 patients who underwent laparoscopic intra peritoneal on lay mesh repair (IPOM) there were 15 females and 10 males, with the average age being 50 years (30-70). 12 cases of Para umbilical hernia, 10 - incisional hernia and 3 cases of umbilical hernia were taken. The size of defect ranged between 5-10cm, dual mesh EPTEFE was used in all patients. The operating time in the study was 1-2hrs. No case was converted to open and the patient stayed in hospital for 4 days post operatively. 2 patients had ileus, 10 months follow up was done for all 25 patients. Laparoscopic intra peritoneal on lay mesh repair for ventral hernia (IPOM) is safe and has benefits of rapid recovery and better outcome. Keywords:Laparoscopic ventral hernia repair, IPOM (intraperitoneal on lay mesh repair).
Authors and Affiliations
Reny Jayaprakash, R. Bharathidasan, Hari Krishnan, G. Ambujam
Keywords
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