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Laparoscopic inguinal hernia repair by an intraperitoneal onlay mesh technique using expanded PTFE: a prospective
C Hatzitheofilou1, M Lakhoo, C Sofianos
1Department of Surgery, Baragwanath Hospital, University of Witwatersrand, Johannesburg, South Africa.
Surgical Laparoscopy & Endoscopy
|January 23, 1998
Summary
Laparoscopic inguinal hernia repair using the intraabdominal intraperitoneal onlay mesh (IPOM) technique showed reduced operating time and hospital stay. However, complications and recurrence rates warrant further investigation into its safety and cost-effectiveness compared to conventional methods.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Inguinal hernias are common surgical conditions.
- Traditional open hernia repair has established protocols.
- Laparoscopic techniques offer potential advantages in recovery.
Purpose of the Study:
- To evaluate the efficacy and safety of the intraabdominal intraperitoneal onlay mesh (IPOM) technique for laparoscopic inguinal hernia repair.
- To compare the IPOM technique with conventional methods regarding operative time, postoperative pain, hospital stay, and complications.
Main Methods:
- Prospective trial involving 50 patients (52 inguinal hernias).
- Utilized 10 x 7.5-cm expanded polytef (PTFE) patches for IPOM repair.
- Follow-up period ranged from 7 to 31 months.
Main Results:
- Operating time was reduced (35-60 min in 40 patients).
- Majority of patients experienced minimal postoperative pain and shorter hospital stays.
- Complications included bladder perforation, small bowel strangulation, and two recurrences.
Conclusions:
- The IPOM technique is a potentially faster laparoscopic approach with less postoperative pain and shorter hospital stays.
- Concerns regarding safety exist due to reported complications and recurrences.
- Hospital costs for the IPOM laparoscopic method were higher than conventional herniorrhaphies.