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Updated: Aug 25, 2026
Laparoscopic Non-Mesh Cerclage Pectopexy with Uterine Preservation for Pelvic Organ Prolapse
Published on: October 25, 2024
The Liberec loop purse string hernioplasty, Omentum protected IPOM and Liberec umbilical lasso as possible
Introduction:
Umbilical hernia repair is one of the most common surgical procedures. A variety of methods have been developed for its treatment, both with and without a mesh, open, laparoscopically, and robotically. The goal of this work was to present some of our innovative repairs and their results.
Methods:
The Liberec loop purse string hernioplasty (LLPSH) is a layered purse-string suture technique that allows for the suturing of a defect up to 10 cm without the use of a mesh, in cases where its use would be risky or contraindicated. The Omentum protected IPOM (OpIPOM) is a repair suitable for obese patients, where otherwise the use of a non-absorbable mesh intraperitoneally onlay would be indicated. This method allows for the safe use of an hydrophilic mesh instead of a hydrophobic one. The Liberec umbilical lasso (LUL) is an ultra-simple repair primarily indicated for small less symptomatic or asymptomatic hernias as part of another procedure.
Results:
The LLPSH maintains a very low recurrence rate and SSI (2.7 and 8.2%, resp.) in our cohort of 108 patients. The average operating time for the OpIPOM in our group of 80 patients (40/40) was 30 min shorter compared to the Rives-Stoppa plastic surgery. Infection at the surgical site or complicated seroma occurred in 3 patients compared to 5 patients in the Rives-Stoppa group. Recurrence of hernia within 2 years of follow-up was the same for both methods (5%). The average duration of postoperative drainage was shortened by 1.8 days. The LUL improved the immediate postoperative esthetic effect and reduced the overall surgical time by approximately 10-15 min than other widely spread methods.
Conclusion:
The LLPSH, OpIPOM and LUL are innovative surgeries for umbilical hernia, which do not aim to long-term replace proven and widely used surgeries for elective procedures on umbilical hernias. Despite their time efficiency, simplicity, and very good, albeit limited results, they maintain a relatively narrow indication spectrum.
