Outcome of an observational study to assess different techniques for the laparoscopic management of incisional hernias

Incisional hernia is one of the commonest surgical problems encountered in our day to day surgical practice.The laparoscopic technique for repairing ventral and incisional hernias (VIH) is now well established. Intraperitoneal on lay mesh hernioplasty without closure of defect (S-IPOM) has been the standard technique for a long time. However, concerns like seroma formation, mesh eventration, bulging and recurrence were of much concern. Intra peritoneal on lay mesh Hernioplasty with closure of defect (IPOM – PLUS) has shown promising results vis-à-vis these complications mentioned with S-IPOM. The theme of our study was to evaluate and observe the results with both the techniques for the repair of incisional hernia.Majority of the patients in our study were females in both groups and had undergone previous surgery through midline incision.Postoperative complications in terms of seroma formation, recurrence and mesh bulging were significantly less in IPOM-PLUS as compared to S-IPOM. We recommend that intraperitoneal on lay mesh hernioplasty with closure of defect is a better technique for the incisional hernias.