Comparing Two Surgical Techniques for Ventral Hernia Repair eTEP Versus IPOM Methods

What this Trial Is About

Researchers are evaluating two surgical techniques for treating abdominal wall hernias the Extended Totally Extraperitoneal Repair eTEP and the Intraperitoneal Onlay Mesh IPOM method. The goal of this clinical trial is to determine whether the eTEP technique leads to better outcomes such as reduced pain, fewer complications, lower recurrence and reoperation rates, and improved quality of life. This trial is designed as a randomized controlled study comparing these two approaches for ventral hernia repair. Participants will undergo surgery using either the eTEP or the IPOM technique. The eTEP approach involves entering the retromuscular space via an incision in the anterior rectus sheath and placing a synthetic mesh on the posterior sheath with minimal fixation. The IPOM technique uses laparoscopic ports to access the abdominal cavity, where the hernia orifice is closed and a coated mesh is placed on the ventral abdominal wall with sutures and absorbable tackers. Both methods aim for a mesh-defect ratio of 16. Participants will be followed up in person or via phone or email on day 1, day 7, day 14, 6 weeks, 6 months, 1 year, 3 years, and 5 years after surgery. During these visits, researchers will assess pain using numeric rating scales and patient questionnaires, monitor for complications, recurrence, and reoperations, and evaluate quality of life and functional recovery. Safety and adverse events will also be tracked, with the total study duration extending up to 5 years post-surgery.

ExtrAperitoneaL Plasty vs Intraperitoneal oNlay mEsh in Ventral Hernia Repair