A COMPARATIVE STUDY ON ETEP-RS VS IPOM FOR UMBILICAL HERNIA.

Abstract

Introduction- umbilical hernia repair has undergone various developments with laparoscopic repair of umbilical hernia is gaining increasing popularity due to its low recurrence rate, short hospital stay, and low complication rate[1]. Aim & Objectives: The aim of the study was to compare laparoscopic eTEP-RS & IPOM hernia repair in umbilical hernia. Method: This is a prospective study. The total sample size for this study is 45 and among these 18 cases were from eTEP-RS and 27 cases were from IPOM in which variable defect size, operative time, intra and postoperative complications & return to normal activities were compared. The study period was from May 2015 to June 2022. In a total of 45 cases eTEP-RS was performed in 18 patients having Results: mean age of 49 years and were mostly males (64%) whereas IPOM was performed in 27 patients having mean age of 50 years and were mostly males(82%). We noted mean operative time of eTEP-RS repair is 120 min which is longer than the IPOM which is 52.4 min. We have seen the post operative complications in IPOM were more than eTEP-RS with a signicant p-value 0.014. Who underwent IPOM has mean hospital stay of 8.4 days where as in eTEP-RS it was 3 days. Chronic abdominal pain is more signicant in IPOM. No intra operative bowel injuries in any of the cases. Laparoscopic eTEP-RS Conclusionrepair for umbilical hernia have long learning curve but it is the best method with less postoperative complications and early recovery and return to day-to-day activities