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Research Paper | Surgery | India | Volume 12 Issue 1, January 2023

A Study on Short-Term Outcomes of Extended View Totally Extraperitoneal Rives Stoppa (e-TEP RS) Repair versus Laparoscopic Intra-Peritoneal Onlay Mesh (IPOM) Plus Repair for Ventral Hernia

Dangeti Bhuvana | K. Suhas Chaitanya | G. Sai Subrahmanyam

Abstract: Background: A ventral hernia is a hernia which can be occur at any location along the midline (vertical center) of the abdomen wall. It can be classified as spontaneous (primary) or acquired (secondary). Also, there are basically 3 types of ventral hernia and these are: Epigastric or stomach area hernia, Umbilical or belly button hernia and the Incisional hernia. Currently, minimally invasive approach is preferred for the treatment of ventral hernias. After the introduction of extended view totally extraperitoneal (e-TEP RS) technique, there has been a constant debate over the choice of better approach. In this study, we compare the short-term outcomes of e-TEP RS and laparoscopic IPOM Plus repair for ventral hernias. Methods: This is a comparative, prospective single-center study done at Narayana Medical College And Hospital, Nellore, India from January 2021 to July 2022. All patients who underwent elective ventral hernia surgery with defect size of 2 to 7cm were included. Patient demographics, hernia characteristics, operative and peri-operative findings, and postoperative complications were systematically recorded and analyzed. Results: We evaluated 100 cases (n = 100), 50 in each group. Mean age, sex, BMI, location of hernia, primary and incisional hernia, and comorbidity were comparable in both the groups. Mean defect size for IPOM Plus and e-TEP RS was 4 cm and 3.87 cm, respectively. Operative time was significantly higher for e-TEP RS, while postoperative pain (VAS), analgesic requirement, and postoperative hospital stay were significantly less as compared to IPOM Plus. However, 1 cases (2%) of e-TEP RS had recurrence but none in IPOM Plus. Conclusion: Our study showed that the e-TEP RS repair had shown promising results and was being widely accepted. It results less presence of co-morbidities and less complications when compared to IPOM repair. More randomized controlled and multicentric studies are required with longer follow-up to validate our findings.

Keywords: IPOM plus, eTEP RS, Ventral Hernia, Retro-muscular mesh, Observational, Laparoscopic Hernia Repair

Edition: Volume 12 Issue 1, January 2023,

Pages: 962 - 967