SUTURE VS TACKS : MESH FIXATION TECHNIQUE IN IPOM
Haseeb Mohammad Khandwaw
, Aamir Hussain Hela , Zahur Hussain
ventral hernias, ventral wall hernia repair, laparoscopic repair if ventral hernias, IPOM, IPOM Plus
Introduction: Ventral wall hernia repair is one of the common procedures being performed today. Ventral hernias occur in approximately 0.5 – 1% of population. Laparoscopic ventral hernia repair (LVHR) has been introduced to practice in the early 1990’s by Karl Leblance. In this techniques, the mesh is placed in the intra-peritoneal position and is fixed to surrounding intact peritoneal wall. The most frequently used methods of fixation are Tacks, with or without trans-fascial abdominal sutures and suture alone. Methods: We conducted a prospective randomised single centre study comparing different mesh fixation techniques for laparoscopic abdominal wall hernias in a parallel group design in Government Medical College, Jammu over a period of two years. All patients between 15 and 80 years of age who required non- urgent laparoscopic surgery for abdominal wall hernias were included. The patients were randomised to three different mesh fixation techniques. Results: In our study, maximum number of patients were in the age group of 36-45 years (42.2%). There were 26 females and 19 males in our study with female to male ratio of 4:3. Severity of pain was compared between three groups in pre operative and post operative period at 3 weeks and 3 months using visual analogue scale from 1 to 10. When compared between two groups at a time using student paired-t test, the difference in VAS score was statistically insignificant. Conclusion: Our randomised study compared three different mesh securing techniques using Absorbable sutures, Non Absorbable sutures and Tackers and could not find any pain reducing advantage of one technique over the other two.
"SUTURE VS TACKS : MESH FIXATION TECHNIQUE IN IPOM", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.7, Issue 2, page no.123 - 126, February-2022, Available :https://ijsdr.org/papers/IJSDR2202020.pdf
Volume 7
Issue 2,
February-2022
Pages : 123 - 126
Paper Reg. ID: IJSDR_193924
Published Paper Id: IJSDR2202020
Downloads: 000347202
Research Area: Biological Science
Country: Srinagar, Jammu Kashmir, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
