INCISIONAL HERNIA SURGERY

COMPARING THE FUNCTIONAL OUTCOME OF PREPERITONEAL MESH REPAIR VERSUS ONLAY MESH REPAIR AND LAPAROSCOPIC IPOM IN INCISIONAL HERNIA SURGERY

Abstract

Objectives: To evaluate the postoperative complication of different incisional
hernia repair techniques; preperitoneal repair, onlay repair, and laparoscopic IPOM. Study
Design: Randomized control trial. Setting: Multan Medical and Dental College Multan. Period:
One year duration from June 2016 to June 2017. Methodology: Collected data was analyzed
by using SPSS statistical software), mean and standard deviation was calculated for continuous
data and frequencies with percentages (%) were calculated and presented for qualitative data.
P value ≤ 0.05 was considered as significant. Results: Total 90 patients enrolled in this study,
both genders. There were 65.6% (n=59) men and 34.4% (n=31) women. Patients who were
treated with preperitoneal repair were able to perform forceful activities in earlier time when
compared to those who were treated with onlay repair at 11th weeks. The differences were
statistically significant. Conclusion: The observations of our study revealed that Laproscopic
IPOM was found to be effective and easy for patient compliance and level of satisfaction in
terms of CCS scoring system with regard to occurrence of complications, appearance of the
abdominal wall without laxity in a single sitting and to resume daily activities.