Abstract
Aim: To summarize our experience in laparoscopic intra-peritoneal onlay mesh (IPOM) plus repair for ventral abdominal wall hernias over a 10-year period.
Highlights
Ventral abdominal wall hernia surgery is a common procedure in the armamentarium of surgeons
The standard laparoscopic repair of ventral hernias consisted of bridging the defect from the peritoneal side with a composite mesh, known as the intra-peritoneal onlay mesh (IPOM) repair, which is placement of the mesh in the underlay position through the laparoscopic intraperitoneal approach
All patients posted for laparoscopic repair of midline lower abdominal ventral hernia on an intention to treat basis were included in the study
Summary
Ventral abdominal wall hernia surgery is a common procedure in the armamentarium of surgeons. The standard laparoscopic repair of ventral hernias consisted of bridging the defect from the peritoneal side with a composite mesh, known as the intra-peritoneal onlay mesh (IPOM) repair, which is placement of the mesh in the underlay position through the laparoscopic intraperitoneal approach Such repair is associated with a significant incidence of post-operative bulging or eventration of mesh, seromas, recurrences and nonrestoration of abdominal muscle function[10,11,12]. To circumvent these problems, sutured closure of the defect in the fascia with intra-peritoneal mesh reinforcement has been described, termed the IPOM plus repair[13]. This repair is the recommended procedure in the guideline of International Endohernia Society[14]
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