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.Material & Methods:This was a prospective observational comparative study. The total sample size for this study 38 and among these 18 cases were from e-TEP and 20 cases were from IPOM. The study period was from December 2019- December 2021. The stratified sampling method was followed for this study as an eligibility criterion for age of the respondents was set for this study.Results:The presence of co-morbidities was found in both e-TEP and IPOM. High blood pressure was seen in 7(38.89%) cases in e-TEP and 8(40%) cases in IPOM and followed by stroke in 4(22.22%) and 5(25%), Hypothyroidism in 1(5.56%) and 1(5%), Cancer in 2(11.11%) and 2(10%), Diabetes in 4(22.225) and 4(20%). Location of Hernia in right 7(38.89%) and 8(40%) and in left side was 11(61.11%) and 12(60%). In assessing the condition of disease, it was found that ventral hernia was in 4(22.22%) and 5(25%), Umbilical hernia in 6(33.33%) and 6(30%), Epigastric hernia 8(44.44%) and 9(45%). The Mean and SD of Defect size of lesion 71.4�.1 and 76�.2.Conclusions:The above study showed that the e-TEP 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.
ABSTRACT
Este artículo describe una modificación a la técnica totalmente extraperitoneal, la cual mejora notablemente el espacio quirúrgico y facilita la ejecución del reparo endoscópico extraperitoneal de la hernia.
This article describes de progressive global acceptance of laparoscopic inguinal hernia repair and describes a totally extraperitoneal technique that we have labelled E-ETP because it provides an enhanced or expanded visual surgical field in comparison with the traditional TEP approach. The technique is particularly useful in the obese patients and in patients with large hernias.
Subject(s)
Humans , General Surgery , Hernia, Inguinal , Laparoscopy , Prostheses and Implants , Stress Disorders, Post-TraumaticABSTRACT
Objective To evaluate mid-term clinical effects of laparoscopic intraperitoneal onlay mesh herniorrhaphy (IPOM) for adult inguinal hernia. Methods A retrospective analysis was made on 546 cases of inguinal hernia treated by IPOM (603 sides) between June 2002 to December 2004. We closed the hernia sac by the lift-insert method following with the implantation of the Prolene mesh with the help of a stapler. Results The operation was successfully completed in all the cases, except for 2 cases of conversions to open surgery because of difficulties in covering the defects. There were no intraoperative complications, and 5 cases of postoperative seroma which subsided after physical therapy. The operative time was 25~40 min (mean, 31 min), and the hospital stay was 36~72 h (mean, 46 h). Follow-up observations for 18~48 months (mean, 28 months) found 6 cases of recurrence, with the recurrence time at 30~45 months (mean,38.2 months). The racurrence rate was 0.995%. Conclusions Laparoscopic intraperitoneal onlay mesh herniorrhaphy a minimally invasive method with reliable outcomes, low recurrence rate, and rapid recovery.