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Modified laparoscopic intraperitoneal onlay mesh in complicated inguinal hernia surgery.
G M Hyllegaard1, H Friis-Andersen
1Surgical Department, Horsens Regional Hospital, 8700, Horsens, Denmark, gitte.sonderskov.moller@horsens.rm.dk.
Hernia : the Journal of Hernias and Abdominal Wall Surgery
|April 30, 2014
Summary
The laparoscopic intraperitoneal onlay mesh (IPOM) technique shows promising results for inguinal hernia repair in patients with preperitoneal fibrosis, demonstrating comparable or better outcomes than the Lichtenstein procedure regarding recurrence and chronic pain.
Area of Science:
- Surgical Innovation
- Hernia Repair Techniques
- Minimally Invasive Surgery
Background:
- Preperitoneal fibrosis presents unique challenges in inguinal hernia repair.
- Traditional open techniques may be less suitable in these complex cases.
Purpose of the Study:
- To evaluate the recurrence rates and postoperative complications associated with the laparoscopic intraperitoneal onlay mesh (IPOM) technique.
- To assess the efficacy of IPOM in patients with preperitoneal fibrosis.
Main Methods:
- Retrospective analysis of 37 patients (38 hernias) who underwent IPOM for inguinal hernias between 2004-2010.
- Data collected via specific questionnaires, clinical examinations, medical records, and national databases for reoperations.
Main Results:
- A recurrence rate of 5% (2 patients) was observed.
- Postoperative complications included chronic pain in 11% (4 patients) and bowel symptoms in 16% (6 patients).
Conclusions:
- The IPOM technique appears to be a viable option for treating complex inguinal hernias with preperitoneal fibrosis.
- IPOM demonstrates comparable or superior outcomes to the Lichtenstein procedure concerning re-recurrence and chronic pain.
