Health Condition 1: K00-K95- Diseases of the digestive system Health Condition 2: K43- Ventral hernia
Conditions
Interventions
Intervention1: Extended Totally Extraperitoneal (eTEP) repair of ventral of ventral hernias: The intervention involves Extended Totally Extraperitoneal (ETEP) Hernia Repair, a minimally invasive lapar
Sponsors
Mahil Mahajan
Eligibility
Inclusion criteria
Inclusion criteria: All consenting patients with primary elective uncomplicated ventral hernia defect size less than 8 cm planned for laparoscopic mesh repair.
Exclusion criteria
Exclusion criteria: Patients were excluded if they had a previously placed mesh in the retromuscular or intra-abdominal position, recurrent ventral hernia, or complicated ventral hernia such as irreducible, obstructed, or strangulated hernia. Patients with a history of extensive abdominal surgeries or prior mesh repairs were also excluded. Additional exclusion criteria included the presence of active infection or skin disease at the surgical site, immunocompromised status or chronic steroid therapy, pregnancy, and patients with severe comorbidities such as uncontrolled diabetes or cardiac failure. Patients unwilling to comply with follow-up were not included. Cases of giant ventral hernia with loss of domain, hernia patients with disorders of hemostasis and coagulation, and those suffering from chronic pain due to previously operated sites or other medical conditions were also excluded. Furthermore, patients undergoing concomitant surgeries along with mesh repair and morbidly obese patients with a body mass index (BMI) greater than 35 were excluded from the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the postoperative pain using VAS score between eTEP and laparoscopic IPOM plus.Timepoint: Till 6 months from the date of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Length of operation (Minutes), intra operative time for mesh fixation (Minutes, from opening of mesh cover till the last mesh fixation point ) 2. Length of hospital stay in days 3. Intraoperative and postoperative complications (including seroma, wound infection) 4. Early recurrence rate at 6 months 5. Chronic pain at 6 months (VAS and neuropathic pain assessment) 6. Quality of life (Hernia-Related Quality of Life inventory - HerQLes) 7. Cost-effectiveness (direct hospital costs and consumables)Timepoint: Till 6 months from the date of surgery | — |
Countries
India
Contacts
Public ContactMahil Mahajan
JIPMER
Outcome results
None listed