Page 8 - World Journal of Laparoscopic Surgery

Comparison of Types of IPOM
Table 1: Age of patients who had IPOM
N Minimum Maximum Mean Std. deviation Skewness
Statistic Statistic Statistic Statistic Statistic Statistic Std. error
Age 100 20 80 50.50 14.403 0.139 0.241
Valid N (listwise) 100

Table 2: Age-group frequency
Frequency Percent Valid percent Cumulative percent
Valid 11–20 1 1.0 1.0 1.0
21–30 5 5.0 5.0 6.0
31–40 19 19.0 19.0 25.0
41–50 28 28.0 28.0 53.0
51–60 20 20.0 20.0 73.0
61–70 15 15.0 15.0 88.0
71–80 12 12.0 12.0 100.0
100 100.0 100.0

A small hernia defect is less than 4 cm. A 4–10 cm defect Table 3: Sex distribution according to mesh used at IPOM
represents a medium hernia, while greater than 10 cm fascial defect Male (n = 35) Female (n = 65)
indicates a large hernia. A high BMI is body mass index greater
2
than 30 kg/m . Mesh type Mesh type
Current concepts in mesh implants include the newer meshes: PPV Composite PPV Composite
surgisis, alloderm, and proceed. Surgisis is porcine intestinal 20 15 30 35
submucosa. It is a collagen biomatrix, naturally occurring and
acellular with 18 months shelf life. It supports the surgical site, while
the body’s natural healing process replaces the graft with new
host tissue. Alloderm is biological dermal matrix from processed
donated human tissue. Proceed is soft polypropylene mesh covered
with polydioxanone sulfate and oxidized regenerated cellulose
fabric.

MAterIAls And Methods
This study of IPOM in our hospital: the University of Medical Science
Teaching Hospital and the State Specialist Hospital, Okitipupa,
Ondo state, Nigeria. Data were collected and analyzed using SPSS
version 22.

results
Analysis of data was done on demographics, and categorical data Fig. 1: Age-group frequency
were compared using the Chi-square test. Qualitative variables
were represented as percentages. p values of less than 0.05 were
considered as statically significant.
A total of 100 patients had mesh hernioplasty by IPOM between
January 2013 and January 2020.
Seventy patients (70%) presented with congenital (primary)
hernia, while 30 patients (30%) presented with incisional hernia.
Sixty-five patients (65%) had open procedure, while 35 (35%)
had laparoscopic repair.
Sixty-five patients (65%) were female, while 35 (35%) were male,
giving a male to female ration 1:1.86. Twenty-eight patients (28%)
were in the age range of 41–50 years, and the overall age range is
11–80 years as shown in Figures 1 and 2 and Tables 1 to 3.
The mean age is 50.5 ± 14.4 years. The median follow-up was
48 months. Fifty patients (50%) had hernia repair using PPV, while
50 patients also (50%) had hernia repair using composite mesh. Fig. 2: Showing gender of patients that had IPOM

104 World Journal of Laparoscopic Surgery, Volume 15 Issue 2 (May–August 2022)