Comparison of Open Mesh Hernioplasty Verses Laparoscopic Intraperitoneal Onlay Mesh for Ventral Hernias

Abstract

Objective: Compare the outcome of laparoscopic intraperitoneal onlay mesh (IPOM) with open
mesh repair in ventral hernias.
Material and Methods: Seventy patients were divided into two groups of 35 each. Group A =
IPOM repair and Group B = Mesh hernioplasty.
Results: The mean±SD age was in group A 44.54±7.06 years and 46.40±7.14 in group B.
Twelve (34%) patients were male in group A, 14 (40%) patients were in group B and 23 (66%)
patients were female in group A and 21 (60%) were female in group B with male to female ratio
1:1.91. There were only 3 (8%) patients had postoperative pain in group A and 10 (28%) patients
were in group B (p<0.05) which is statistically significant. In comparison postoperative early
surgical site infection in both groups, there was no patient on 3rd postoperative day in both
groups. On 10th postoperative day 1 (3%) patient had surgical site infection in group A and 6
(17%) patients had postoperative early surgical site infection in group B (p<0.05) which is
statistically significant.
Conclusion: Laparoscopic approach appears to be as effective, safe, feasible, and
cosmetically good procedure. It has fewer rates of early surgical site infection and postoperative
pain. Laparoscopic repair is good alternative to the open repair in the treatment of ventral hernias.