Introduction of the Mini- or Less-open Sublay Operation for Abdominal Wall Hernia

Objective : To report short-term results of the recently introduced mini- or less-open sublay operation (MILOS) technique for abdominal wall hernia. Method : We analyzed the surgical results of six cases in which MILOS repair was performed for abdominal wall hernias with less than 5-cm protrusion through the hernia orifice. Further, the results were compared with 39 cases where the laparoscopic intraperitoneal onlay mesh (IPOM)-Plus technique was used. Results : There were no intraoperative complications in patients in the MILOS repair group. The av-erage operation time was 133.3 minutes for MILOS repair and 123.4 minutes for the laparoscopic IPOM-Plus technique, the difference not being statistically significant (P = 0.545). Post-operative pain on the day after surgery and 7 days after surgery was significantly lesser with MILOS repair (P = 0.019 and 0.031, respectively). Conclusion : MILOS repair for abdominal wall hernia can be performed safely even during the introduction period of surgical procedure without extending the duration of the operation, and the postopera-tive pain is less than that of the laparoscopic IPOM method.

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