P-104 A STEP-UP APPROACH FROM IPOM + IN MINIMALLY INVASIVE ABDOMINAL WALL SURGERY

Abstract Aim To compare the early outcomes of two different techniques for ventral hernia repair in our abdominal wall surgery unit. Materials and Methods A prospective non-randomized review was perfomed including patients who underwent laparoscopic from January 2018 to April 2022. All were followed-up 1 month orifice closed all cases. Patients hernias characteristics, operative data complications reviewed. Postoperative pain defined as ≥4 value Visual Analogue Scale. We compared 2 techniques: intraperitoneal mesh fixed with a double crown resorbable tackers (IPOM+) self gripping sublay positioned (preperitoneal –PREP- or retromuscular –RIVES- position). Outcomes During study period, 44 assigned into groups: 31 (70%) IPOM+ group 13 (30%) Rives/Preperitoneal group. No differences found risk factors, population between both groups. 6 (19%) presented postoperative only patient (7,7%) Rives/Prep (p: 0,30). There no other complications, length stay time. Conlusion Early (Rives preperitoneal) do not report more during perioperative time, but they could help reducing immediately postoperatorive pain.