A PROSPECTIVE STUDY IN EXTENDED TOTAL EXTRAPERITONEAL REPAIR IN UMBILICAL HERNIA.

Abstract

Introduction-Aminimally invasive technique, popularly known as e-TEP, to place a mesh in retro muscular space has long been under discussion between experts. Several studies have concluded that the laparoscopic approach to ventral hernia repair (LVHR) produces earlier discharge from the hospital, potentially faster recovery, and equivalent recurrence rates in comparison to open approaches. Objectives- 1. To identify the variables affecting the outcome of Extended Total Extraperitoneal Repair in Umbilical Hernia 2. To determine complications of Extended Total Extraperitoneal Repair in Umbilical Hernia. Methodology-Aprospective study was conducted on 10 patients with umbilical hernias admitted to a tertiary care hospital. All the details about age, sex, intra-operative parameters like defect width, operative time, etc. & post-operative complications were noted. Results- In our study, the mean age was 42.7±10.5yrs. Male (60%) preponderance was seen. The average defect width was 3.8±2.2cm. While the mean operative time was 97min. & mean duration of hospital stay was 3.5±0.9days. Co-morbidities were seen in 30% of patients. The mean of post-operative VAS score was 1.9±0.2 days. Out of the total of 10 patients, a single patient developed a seroma at the umbilicus. None of the patients developed any other complication. Conclusion- Our study is an addition to the evidence that Extended Total Extraperitoneal Repair improves outcomes of patients with an umbilical hernia. Precise knowledge of anatomy is inevitable for a safe and effective repair.