Comparison Between eTEP-RS vs IPOM PLUS

Abdominal wall hernias are common surgical conditions, and multiple techniques have evolved for their repair. eTEP-RS is a relatively newer, minimally invasive approach that combines the principles of the Rives-Stoppa retromuscular mesh placement with the benefits of laparoscopic surgery. IPOM Plus, on the other hand, is a widely practiced technique involving intraperitoneal mesh placement with defect closure.

This prospective comparative study is designed to evaluate the effectiveness and safety of eTEP-RS versus IPOM Plus in patients undergoing elective repair of ventral or incisional hernias. The study will assess intra-operative parameters (e.g., duration of surgery, blood loss), early post-operative outcomes (pain score, duration of hospital stay), surgical site complications (seroma, infection, mesh-related issues), and long-term outcomes (recurrence, quality of life).

Patients fulfilling inclusion criteria will be assigned to one of the two arms. Standardized protocols will be followed for pre-operative work-up, anesthesia, surgical steps, and post-operative care. Data will be analyzed to determine if one technique offers superior clinical outcomes, better patient satisfaction, or reduced recurrence

Inclusion criteria

• patient with uncomplicated ventral hernia with defect size between 2 cm and 5 cm
• Age between 18 years and 60 years.
• elective surgical cases(non emergency)

Exclusion criteria

• defect size greater than 5 cm.
• patient not giving consent.
• patient with lateral HERNIAS.
• patient with complicated ventral HERNIAS like irreducible , obstructed and strangulated HERNIAS.
• pregnant and lactating women.
• patient on anticoagulants.
• recurrent hernia.
• patient not fit for GA.
• POOR GENERAL CONDITION.