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Jani. Mini-invasive Surg 2018;2:14 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2018.08

Original Article Open Access

Laparoscopic intra-peritoneal onlay mesh plus
repair for ventral abdominal wall hernias - is there

substance to the hype?

Kalpesh Jani

Vadodara Institute of Gastrointestinal and Obesity Surgery, Manjalpur Hospital, Vadodara 390011, India.
Correspondence to: Dr. Kalpesh Jani, Vadodara Institute of Gastrointestinal and Obesity Surgery, Manjalpur Hospital, Tulsidham
Cross Roads, Manjalpur, Vadodara 390011, India. E-mail: kvjani@gmail.com
How to cite this article: Jani K. Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there
substance to the hype? Mini-invasive Surg 2018;2:14. http://dx.doi.org/10.20517/2574-1225.2018.08
Received: 6 Feb 2018 First Decision: 16 Apr 2018 Revised: 24 Apr 2018 Accepted: 3 May 2018 Published: 28 May 2018

Science Editors: Charles F. Bellows, David S. Edelman Copy Editor: Jun-Yao Li Production Editor: Cai-Hong Wang

Abstract
Aim: To summarize our experience in laparoscopic intra-peritoneal onlay mesh (IPOM) plus repair for ventral abdominal
wall hernias over a 10-year period.

Methods: All patients posted for laparoscopic repair of midline lower abdominal ventral hernia on an intention to treat
basis were included in the study. Patients unfit for general anesthesia, patients posted for open repair or a hybrid
approach (open reduction and closure of defect followed by laparoscopic IPOM repair) were excluded. Pre-operative
patient demographics were noted. Intra-operative and post-operative data was recorded and analyzed.

Results: A total of 278 patients were posted for elective laparoscopic repair of lower midline ventral hernias between
January 2007 and January 2017, of which, 56.1% were para-umbilical hernias and 43.9% were incisional hernias. These
2
included 155 female patients. The average body mass index was 27 kg/m . Thirty-five patients were being operated
for a recurrent ventral hernia. The average defect width was 1.2 cm for paraumbilical hernias and 2.2 cm for incisional
hernias. The mean operating time was 55 min for para-umbilical hernias and 71 min for incisional hernias. In 13.1%, the
fascia could not be sutured. There were no conversions to open surgery. Average length of hospital stay was 2.04 days
with average follow-up period of 4.6 years. Overall morbidity was 7.9% with 2 recurrences. There was no mortality or
mesh infection.

Conclusion: Thus, IPOM plus repair is a safe, feasible and effective technique for the treatment of ventral abdominal wall
hernias.

© The Author(s) 2018. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use,
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