Laparoscopic intraperitoneal onlay mesh repair (intraperitoneal onlay mesh plus) in 429 patients – Our experience

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INTRODUCTION: Laparoscopic ventral hernia repair (LVHR) was first described in 1992 by Karl Leblanc and has increasingly gained popularity in this current era of minimal access surgery, hereby establishing itself as a well-accepted option for the treatment of these hernias. OBJECTIVE: To assess; if the repair of Symptomatic Ventral hernia using Laparoscopic IPOM-PLUS is an effective modality in the treatment of such hernias or not. AIM: The study reviews our experience in Laparoscopic Intraperitoneal Onlay Mesh repair (IPOM- PLUS) of symptomatic ventral hernia in a single surgical unit at Artemis Hospital, Gurgaon. METHODS: A Prospective observational study was conducted where in we analysed the electronic medical records of 429 patients who underwent Laparoscopic Ventral Hernia Repair between July 2012 to January 2020 at Artemis Hospital, Gurgaon, Haryana. A Follow up period of 24 months was undertaken . RESULTS: Four hundred and twenty nine patients underwent Laparoscopic IPOM in a span of 8 years. All patient's with a defect size of more than 2 cm were included in the study. Average BMI of the cohort was between 28.42 ± 4.8 kg/m2. Primary closure of all hernias greater than 2 cm was done (Trans-fascial sutures taken using Prolene No.1). Dual mesh was used as prosthesis and it was fixed using non absorbable tacking device. Hernia recurrence was found to occur in 2 of the 429 patient's (0.4%) where in one had chronic cough on account of COPD and the other showed excessive weight gain of 12 kg during the follow up period of 24 Months. CONCLUSION: Laparoscopic IPOM- PLUS is a safe, highly efficacious and accepted method for ventral hernia repair with a very low recurrence rate.