Comparative outcomes of SCOM/SCOLA vs. IPOM PLUS in Umbilical and para-umbilical hernia repairs
Objective:
To compare the SCOM/SCOLA and IPOM PLUS techniques based on surgical time, postoperative pain, seroma formation, hospital stay, and overall cost.
Key Findings:
- IPOM PLUS had a significantly shorter mean surgical time (79.13 ± 12.73 min) compared to SCOM/SCOLA (94.53 ± 21.25 min, p = 0.001).
- Postoperative pain relief was superior in the SCOM/SCOLA group from the 7th day onward (p < 0.0001).
- The incidence of seroma was higher in the SCOM/SCOLA group (86.7% in the 1st week) compared to IPOM PLUS (6.7%).
- By the third week, seroma rates were 20% in SCOM/SCOLA and 3.3% in IPOM PLUS.
- IPOM PLUS resulted in shorter hospital stays (1.83 ± 0.79 days) compared to SCOM/SCOLA (5.07 ± 1.36 days, p < 0.0001).
- Although IPOM PLUS had higher procedural costs, SCOM/SCOLA incurred greater total costs due to prolonged hospitalization.
Interpretation:
Limitations:
- Small sample size may limit statistical power and generalizability.
- The study design does not eliminate selection bias as true randomization was not employed.
Conclusion:
