A PROSPECTIVE, RANDOMISED CONTROLLED STUDY TO COMPARE INTRAPERITONEAL ONLAY MESH PLUS REPAIR VERSUS TRANSABDOMINAL PRE PERITONEAL MESH PLUS REPAIR FOR PATIENT WITH VENTRAL HERNIA

Ventral hernia is the leading cause of abdominal pain, functional impairment and subacute intestinal obstruction. Large comparative studies have shown the advantage of laparoscopic repair over open repair. Conventional laparoscopic repair as popularised by Blanc and Booth in 1993 involves intraperitoneal placement of mesh. Limitation of which includes the requirement of costly composite mesh and fixating device. Also in few cases intraperitoneal mesh may lead to intestinal obstruction and perforation. The current trend among hernia surgeons is to place the mesh extraperitoneally or pre-peritoneally to avoid all the mesh related complications. The only limitation of pre-peritoneal mesh placement is slightly longer operative time and requirement of advanced laparoscopic skills. However there is paucity of literature comparing IPOM with TAPP which is limited to only few retrospective studies. Hence we are planning to conduct this prospective randomised  controlled study to know the advantages of one over another.