Comparison of Results of the sIPOM and the IPOM-Plus Techniques for Small and Medium-Sized Primary Midline Abdominal Wall Hernias

Authors : Halil Afşin TAŞDELEN

Pages : 901-906

Doi:10.16899/jcm.1348372

View : 92 | Download : 52

Publication Date : 2023-09-30

Article Type : Research Paper

Abstract :Abstract Aims: To compare the results of the standard intraperitoneal onlay mesh insert ignore into journalissuearticles values(sIPOM); and intraperitoneal onlay mesh-plus insert ignore into journalissuearticles values(IPOM-Plus); techniques for the repair of small and medium-sized primary midline abdominal wall hernias insert ignore into journalissuearticles values(PMAWHs);. Material and Method: A prospectively documented data of 82 patients who underwent the sIPOM and IPOM-Plus approach between January 2016 and December 2021 was retrospectively evaluated. Forty-one patients with PMAWH repaired with sIPOM insert ignore into journalissuearticles values(18); and IPOM-Plus insert ignore into journalissuearticles values(23); were included in the study. Median follow-up for the sIPOM and IPOM-Plus was 73 and 51 months insert ignore into journalissuearticles values(mean 73.83±7.81vs. 47.43±19.22);, respectively. Results: Both groups had no difference in demographics, comorbidities, and smoking habits. The mesh area insert ignore into journalissuearticles values(MA); and the mesh-to-defect ratio insert ignore into journalissuearticles values(MDR); were not significant insert ignore into journalissuearticles values(p=0.083 and p= 0.30, respectively);; however, the defect area insert ignore into journalissuearticles values(DA); was higher in the sIPOM group insert ignore into journalissuearticles values(p= 0.005);. The IPOM-Plus group had a longer operative time and length of hospital stay insert ignore into journalissuearticles values(LOHS); and higher early postoperative pain than the IPOM group insert ignore into journalissuearticles values(p = 0.002, p = 0.049 and p <0.001);. Seroma developed in 4 insert ignore into journalissuearticles values(22.2%); and 2 insert ignore into journalissuearticles values(8.6%); patients in the sIPOM and IPOM-Plus groups, respectively, with no significant difference insert ignore into journalissuearticles values(p=0.477);. There was two insert ignore into journalissuearticles values(11.1%); recurrence in the sIPOM group, while no recurrences were observed in the IPOM-Plus group insert ignore into journalissuearticles values(p = 0.196);. Conclusions: The IPOM-Plus approach has similar seroma and recurrence rates to sIPOM in small and medium-sized PMAWH, but with higher postoperative pain and longer LOHS. More randomized controlled studies insert ignore into journalissuearticles values(RCTs);, meta-analyses, and multi-center studies with large samples are needed for more valuable results.
Keywords : sIPOM, IPOM Plus, Primer karın duvarı fıtığı, Laparoskopik fıtık tamiri

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