LAPAROSCOPIC MANAGEMENT OF VENTRAL HERNIA- CURRENT STATUS AND OUR INITIAL EXPERIENCE IN A NEWLY ESTABLISHED RURAL MEDICAL COLLEGE

Dr Nazir Ahmad Wani, Dr Manzoor Ahmad Parrey, Dr Zahoor Ahmad Gilkar, Dr Khalid Basheer

Abstract


Introduction: Ventral hernias are dened as the defect in the fascia of anterior abdominal wall with or without bulge.
Clinical presentation can vary from small incidental defect to giant and complicated hernias with stulas and viscera
located outside the abdominal cavity covered only by peritoneum and skin (Loss of domain). Ventral hernias can be primary or secondary
(incisional) following abdominal surgeries.Surgery is the primary modality of treatment for the repair of such hernias. Laparoscopic approaches
include intraperitoneal On-lay mesh repair (IPOM) and Intra- peritoneal Olay Mesh repair with closure of defect (IPOM-PLUS) for small and
medium size ventral hernias. For large complicated hernias with defect size >10 centimeters, the surgical procedures include component
separation and transverse abdominis muscle release incisions like E-TEP with TAR. Materials and Methods: In this study, we retrospectively
analyzed the data of patients that were operated for ventral hernia from March 2020 to March 2023 in the Department of General Surgery.
Medical records were obtained by collecting the patient admission les from Medical Records Section of Govt. Medical College Anantnag
associated Hospital. Results: Total number of patients studied was 104, out of which 61 had primary hernia whereas 43 had incisional hernias.
Open repair with or without mesh was done in 71 patients whereas 33 patients underwent laparoscopic repair. Conclusion: Laparoscopic repair
of ventral hernias is emerging as an effective treatment strategy for ventral hernia especially IPOM and IPOM Plus for small and medium sized
defect in Ventral Hernias with better cosmesis, lesser wound infection, shorter hospital stays and other benets of minimal access surgery.


Keywords


Ventral hernia, incisional hernia IPOM, IPOM PLUS,

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