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Laparoscopic Repair of Primary Ventral and Incisional Hernias: A Case Series |
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Mukund Prabhakar Kulkarni, Raghavendra Havannavar 1. Associate Professor, Department of Surgical Gastroenterology, Karnataka Medical College and Research Institute, Hubli, Karnataka, India. 2. Assistant Professor, Department of Surgical Gastroenterology, Karnataka Medical College and Research Institute, Hubli, Karnataka, India. |
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Correspondence Address : Mukund Prabhakar Kulkarni, Ashok Nagar, Hubli-580032, Karnataka, India. E-mail: mukundaiims@gmail.com |
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| ABSTRACT |  | ||||||
: Primary ventral hernia and incisional hernia constitute a significant proportion of surgical practice. With a better understanding of anatomy and the availability of mesh and fixation devices, there is continuous evolution of techniques from Intraperitoneally placed composite mesh to extraperitoneal regular proline mesh placement over either a peritoneal flap or posterior rectus sheath flap, or more recently, a totally extraperitoneal approach without entering the peritoneal cavity. Laparoscopic techniques ensure reduced postoperative pain, reduced wound infections, and generally a gratifying outcome. In this case series of 129 patients who underwent laparoscopic repair of incisional and primary ventral hernias, females constituted the majority (97 patients), and prior gynaecological surgeries were the most common cause of hernia. Only 35 had primary ventral hernias. Intraperitoneal Onlay mesh with defect closure (IPOM PLUS) placement was the most commonly performed procedure due to its wide applicability, followed by Transabdominal Retromuscular (TARM) mesh repair. All procedures resulted in successful outcomes, with no instances of conversion to open surgery and no major postoperative complications. A single recurrence was noted at the one-year follow-up. | |||||||
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| Keywords : Extraperitoneal, Fixation devices, Mesh, Preperitoneal, Retromuscular, Seroma | |||||||
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DOI and Others :
DOI: 10.7860/IJARS/2026/85083.3121
Date of Submission: Oct 30, 2025 Date of Peer Review: Dec 26, 2025 Date of Acceptance: Apr 16, 2026 Date of Publishing: Sep 01, 2026 AUTHOR DECLARATION: • Financial or Other Competing Interests: None • Was informed consent obtained from the subjects involved in the study? Yes • For any images presented appropriate consent has been obtained from the subjects. Yes PLAGIARISM CHECKING METHODS: • Plagiarism X-checker: Nov 27, 2025 • Manual Googling: Apr 09, 2026 • iThenticate Software: Apr 15, 2026 (8%) ETYMOLOGY: Author Origin EMENDATIONS: 8 |
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