A retrospective study of short term outcomes of ventral abdominal wall hernia patients operated by extended total extraperitoneal mesh repair at a tertiary care centre

Abstract

Background: Laparoscopic repair of various abdominal wall hernias are well accepted procedure due to its low post- operative complications, recurrence and long term results. Various procedures have been described like IPOM, MILOS, E-MILOS, SCOLA, TES and E-TEP. Here we present short term outcome of ventral abdominal wall hernia patients operated by extended total extra peritoneal (E-TEP) repair at a tertiary care hospital over a period of two years.Aims and Objectives: To assess the initial outcomes of patients of ventral abdominal hernias operated by extended total extra peritoneal mesh repair (E-Tep).The study was done to find out the effectiveness of E-Tep repair in surgical treatment of ventral abdominal wall hernia patients.Methods: All the patients operated electively for uncomplicated ventral hernias from November 2020 till December 2021 were selected for the study and followed up for one year till December 2022. Results: In our study 35 patients, were operated by E-Tep for ventral hernia repair. There was no incidence of postoperative complications in terms of, haemorrhage, surgical site infection, chronic pain and recurrence. There was 10.5% incidence of seroma in postoperative period which was managed conservatively.Conclusion: In our experience, E-Tep repair is found to be effective as it allows flexibility in placement of ports for better suturing and deployment of an adequate size of polypropylene mesh in a retro muscular space.