Comparison of laparoscopic intraperitoneal onlay mesh (IPOM Plus) and extended totally extraperitoneal (eTEP RS) repair for incisional hernia - a randomized clinical trial.
Georgy B Ivakhov, Andrey V Andriyashkin, Aleksandra A Kalinina et al.
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In 30 seconds
This randomized clinical trial compared laparoscopic intraperitoneal onlay mesh (IPOM Plus) and extended totally extraperitoneal (eTEP RS) repair techniques in 72 patients with midline incisional ventral hernias. The eTEP RS group reported significantly lower pain scores on the first postoperative day and at subsequent time points, with chronic pain occurring in 38.9% of IPOM Plus patients versus 5.6% in the eTEP RS group (p < 0.001).
Key findings
- IPOM Plus group had a higher average pain score on the first postoperative day compared to eTEP RS (p < 0.001).
- Median NRS-11 scores were significantly lower in the eTEP RS group at 6 ± 1 hours, 7 ± 1 days, and 30 ± 3 days (p < 0.001).
- Chronic pain was observed in 38.9% of IPOM Plus patients versus 5.6% in eTEP RS patients (p < 0.001).
- No significant differences were found in early complications or length of stay.
Why it matters
Understanding the comparative effectiveness of surgical techniques for ventral hernia repair is crucial for optimizing patient outcomes, particularly regarding postoperative pain management and chronic pain prevention.