Abstract
The effective repair of ventral and incisional hernias is a challenging and dynamic field that continues to advance with research and innovation. Primary suture repair of ventral hernias has now largely been abandoned due to high recurrence rates. Prosthetic mesh placement is now the standard of care for all but the smallest ventral hernias. Mesh placement has been described above, below, and within each layer of the abdomen. Intraperitoneal onlay mesh (IPOM) technique places a mesh within the peritoneal cavity and below the peritoneum. Once implanted, the mesh forms an inflammatory reaction with the peritoneum, creating a durable and tensile prosthesis. Literature has shown IPOM to be an efficacious repair with reduced complications. Here we discuss the origins of the IPOM as well our experience and technique using the IPOM repair.
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