Intraperitoneal Onlay Mesh (IPOM Plus) Repair Versus Extended-View Totally Extraperitoneal Rives-Stoppa (eTEP-RS)...

Area of Science:

• Abdominal Surgery
• Minimally Invasive Procedures
• Hernia Repair

Background:

• Primary ventral hernias involve abdominal contents protruding through fascial weaknesses.
• Surgical repair aims to restore abdominal wall integrity and prevent recurrence.

Purpose of the Study:

• To compare the Extended-View Totally Extraperitoneal Rives-Stoppa (eTEP-RS) repair with the Intraperitoneal Onlay Mesh (IPOM Plus) repair for primary ventral hernias.
• To evaluate benefits, complications, and overall outcomes of both surgical techniques.

Main Methods:

• A prospective comparative study of 50 patients with primary ventral hernias (defect < 6 cm).
• Patients were randomized into two groups: 25 undergoing IPOM Plus and 25 undergoing eTEP-RS.
• Exclusion criteria included strangulated/obstructed hernias, recurrent hernias, and morbid obesity.

Main Results:

• eTEP-RS repair had a significantly longer mean intraoperative duration (192.3 min) than IPOM Plus (102.6 min).
• eTEP-RS group showed shorter hospital stays (4.6 days vs. 5.9 days) and significantly lower postoperative pain scores (VAS) at days 1, 7, and 90.
• IPOM Plus was associated with higher rates of wound seromas and paralytic ileus.

Conclusions:

• IPOM Plus is technically simpler and faster but associated with increased postoperative pain, longer hospital stays, and higher complication rates.
• eTEP-RS, though technically demanding and longer, offers reduced postoperative pain, shorter hospital stays, and faster recovery.
• Further research is needed to validate long-term outcomes for both procedures.