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Background <p>Ventral hernia has seen rapid advancements in technique and approach, with minimally invasive surgery becoming the preferred choice. The extended totally extraperitoneal (e-TEP) and intraperitoneal onlay mesh (IPOM) techniques are two commonly used laparoscopic methods. This study compares the early outcomes of these two approaches.</p> Methods <p>A Prospective study was conducted involving 82 patients with midline ventral hernias, equally divided into two groups: e-TEP( Group A) and IPOM(Group B). Perioperative outcomes including operative time, post-operative pain (VAS score), hospital stay, and complications were evaluated.</p> Results <p>The e-TEP group demonstrated statistically significant lower postoperative pain scores(<i>p</i> &lt; 0.05). Although operative time was longer for e-TEP, there was no statistically significant difference in complication rates or hospital stay between the groups.</p> Conclusion <p>Both e-TEP and IPOM techniques are safe and effective for ventral hernia repair. The e-TEP approach may offer an early postoperative pain advantage. Further studies with larger sample sizes and longer follow-up are recommended to assess long- term outcomes such as recurrence and mesh related complications.</p>

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A Comparative Prospective Study on Extended Totally Extraperitoneal Repair Versus Intraperitoneal Onlay Mesh Repair in Ventral Hernia with Early Outcomes

  • 期刊论文

  • 发表日期：

    2026年1月17日

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  • Sai Sampath Kumar Vasantham,
  • K. J. Raghunath,
  • R. Venkatasubramanian

摘要

Background

Ventral hernia has seen rapid advancements in technique and approach, with minimally invasive surgery becoming the preferred choice. The extended totally extraperitoneal (e-TEP) and intraperitoneal onlay mesh (IPOM) techniques are two commonly used laparoscopic methods. This study compares the early outcomes of these two approaches.

Methods

A Prospective study was conducted involving 82 patients with midline ventral hernias, equally divided into two groups: e-TEP( Group A) and IPOM(Group B). Perioperative outcomes including operative time, post-operative pain (VAS score), hospital stay, and complications were evaluated.

Results

The e-TEP group demonstrated statistically significant lower postoperative pain scores(p < 0.05). Although operative time was longer for e-TEP, there was no statistically significant difference in complication rates or hospital stay between the groups.

Conclusion

Both e-TEP and IPOM techniques are safe and effective for ventral hernia repair. The e-TEP approach may offer an early postoperative pain advantage. Further studies with larger sample sizes and longer follow-up are recommended to assess long- term outcomes such as recurrence and mesh related complications.