P-120 LAPAROSCOPIC REPAIR OF INCISIONAL HERNIA USING A NON-ABSORBABLE TRANSPARENT COMPOSITE PROSTHESIS TOTALLY IN POLYPROPYLENE - OUR EXPERIENCE

Abstract Introduction Incisional ventral hernia is one of the most common surgical complications after laparotomy. The aim this retrospective observational study an evaluation clinical outcomes laparoscopic repair incisional hernias with a non-absorbable and transparent composite prosthesis composed macro-porous monofilament polypropylene mesh film. Materials Methods 63 patients, from January 2016 to December 2021, were treated for at Center minimal invasive surgery Nis, Serbia. was always positioned intraperitoneally closing defects fixed absorbable tacks suture. Results In considered cohort (54% female 46% male) median age BMI 54 years (range: 39–68) 25,1 kg/m2 21.5–30.3), respectively. Concerning position, 93.7% medial, 4.8% lumbar 1.6% medio-lumbar. According EHS classification, 58.7% W1, 36.5% W2 12.7% W3. average duration hospitalization 2 days. rate early post-operative 6.3%, including 1 seroma (1.6%) 3 patients reporting pain (4.8%). At follow up 48 months 6–60) we registered cases recurrency (3.2%, both 36 follow-up) case bowel obstruction (1.6%). All variables did not result statistically significative in relation complications. Conclusion Our experience showed that intraperitoneal treatment using prosthesis. minimally procedure allows fast postoperative recovery consequent low economical cost.