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.