Comparative Study between eTEP-RS and IPOM Surgery: Our Experience

Introduction: Based on aetiology, the European hernia society (EHS) divides ventral hernias into primary or congenital hernias and acquired hernias. The open approach was the treatment of choice for ventral hernias. The laparoscopic approach was introduced in 1993, offering another approach to repair these hernias. Our study is a comparison between two laparoscopic repair techniques, Intraperitoneal mesh repair (IPOM) and Extended totally extraperitoneal Rives-Stoppa (eTEP RS). Aim and Objectives: To compare eTEP RS and IPOM technique in uncomplicated ventral hernia repairs. Materials and Methods: Done as Prospective comparative study conducted from January 2020 to December 2020. The study population was 40, with 20 in each group. Results: We found that mean hospital stay and procedure cost was less in eTEP RS group as compared to IPOM group. Operative time was significantly more in eTEP RS group when compared to IPOM group. Discussion: Minimally invasive methods used for ventral hernia repair should meet the objectives of open surgical techniques. Between the two minimally invasive methods compared the eTEP RS has the advantages of costing less, with shorter hospital stay, but had longer operation times, when compared to IPOM. Conclusion: The eTEP RS can be considered as an effective alternative to the IPOM as it is cost effective, associated with less post operative pain and allows patients to resume their daily activities very early but has long operative time and is technically challenging.