Asian Journal of Research in Surgery

Background: Ventral hernias are common problems in our day to day surgical practice. Repair of hernia by a prosthetic mesh is a well-recognized procedure. But whether the procedure is to be done by open or laparoscopic technique is still a topic of discussion. Laparoscopic intraperitoneal onlay mesh (IPOM) and IPOM Plus hernioplasty provide a novel approach to the management of ventral hernias. The purpose of the present study was to evaluate the usefulness of this procedure as routine operation for ventral hernias.

Results: There were 50 cases included in this study which was conducted in Dhaka Medical College and Hospital, Dhaka, Bangladesh from January 2022 to December 2024. Most of the patients were female (78%). Mean age of the patients was 51 ± 5 years. Majority of the patients presented with incisional hernia (26 out of 50). IPOM Plus was done in 38 patients where defect size was < 4 cm while 12 patients under IPOM. 2 patients were converted to open methods due severe adhesion. Mean duration of surgery was 113 ± 23 mins. There was no per-operative complications like bowel or vascular injury. Mean duration of hospital stay was 1.8±3 days. Major post-operative complications were seroma formation (6%), haematoma (4%) and port site infection (4%). There was no recurrence in 12 months follow up.

Conclusion: Laparoscopic intraperitoneal onlay mesh (IPOM and IPOM Plus) hernioplasty has proved to be an effective surgical procedure for ventral hernia repair.