Laparoscopic intraperitoneal onlay mesh with fascial repair (IPOM plus) for ventral and incisional hernia
DOI:
https://doi.org/10.14739/2310-1237.2023.3.283821Keywords:
IPOM plus, laparoscopic surgery, surgical mesh, ventral herniaAbstract
Abdominal wall surgery for ventral hernia is one of the commonest procedures performed by the surgeons.
The aim of the study is to evaluate short- and long-term outcomes in patients who underwent laparoscopic IPOM plus approach.
Materials and methods. This study describes 70 patients who underwent laparoscopic intraperitoneal onlay mesh repair plus (IPOM plus) for ventral and incisional hernia. These were then followed up for a period of a minimum of 12 months and a maximum of 5 years.
Results. Of the 70 patients, 8 (11.43 %) linea alba hernias, 28 (40.00 %) umbilical hernias, 34 (48.57 %) had incisional hernias. The distribution based on ASA score: I – 23 (32.86 %) patients, II – 39 (55.71 %), III – 8 (11.43 %). The mean age was 50.21 ± 0.89 years (M ± m). Male to female ratio was 1.19:1.00. Average defect size was 4.77 ± 0.21 cm (M ± m). Mean operating time was 58.27 ± 0.52 minutes (M ± m). Mean post-op hospital stay was 1.84 ± 0.06 days (M ± m). Intensity of pain by VAS pain score was 5.11 ± 0.92, 4.47 ± 0.31, 2.90 ± 0.72, 0.92 ± 0.81 (M ± m) after 6 hours, 24 hours, 1 week, 6 weeks respectively. No conversion to open laparotomy was required.
Reported complications were port-site seroma 3 (4.29 %), port-site hematoma 1 (1.43 %) over one year of follow-up. 62 (88.57 %) patients were evaluated over 21 months follow-up period, no complications have been reported.
Conclusions. Obtained results showed that the IPOM plus repair is safe and may be used for routine laparoscopic ventral and incisional hernia repair, the closure of fascial defect appears to give chance for good fixation of the mesh and decrease postoperative morbidity.
References
Awaiz, A., Rahman, F., Hossain, M. B., Yunus, R. M., Khan, S., Memon, B., & Memon, M. A. (2015). Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia. Hernia, 19(3), 449-463. https://doi.org/10.1007/s10029-015-1351-z
Bansal, V. K., Asuri, K., Panaiyadiyan, S., Kumar, S., Subramaniam, R., Ramachandran, R., Sagar, R., & Misra, M. C. (2016). Comparison of Absorbable Versus Nonabsorbable Tackers in Terms of Long-term Outcomes, Chronic Pain, and Quality of Life After Laparoscopic Incisional Hernia Repair: A Randomized Study. Surgical laparoscopy, endoscopy & percutaneous techniques, 26(6), 476-483. https://doi.org/10.1097/SLE.0000000000000347
Bittner, R., Bain, K., Bansal, V. K., Berrevoet, F., Bingener-Casey, J., Chen, D., Chen, J., Chowbey, P., Dietz, U. A., de Beaux, A., Ferzli, G., Fortelny, R., Hoffmann, H., Iskander, M., Ji, Z., Jorgensen, L. N., Khullar, R., Kirchhoff, P., Köckerling, F., Kukleta, J., … Yao, Q. (2019). Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS))-Part A. Surgical endoscopy, 33(10), 3069-3139. https://doi.org/10.1007/s00464-019-06907-7
Dietz, U. A., Wiegering, A., & Germer, C. T. (2015). Indikationen zur laparoskopischen Versorgung großer Narbenhernien [Indications for laparoscopic treatment of large incisional hernias]. Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen, 86(4), 338-345. https://doi.org/10.1007/s00104-014-2814-y
Faylona, J. M. (2017). Evolution of ventral hernia repair. Asian journal of endoscopic surgery, 10(3), 252-258. https://doi.org/10.1111/ases.12392
Feleshtynsky, Ya. P., Lerchuk, O. M., Smishchuk, V. V., & Hudyma, Ya. M. (2020). Laparoskopichna preperytonealna aloplastyka pisliaoperatsiinykh ventralnykh hryzh [Laparoscopic preperitoneal alloplasty of postoperative ventral hernias]. Klinichna khirurhiia, 87(5-6), 50-54. [in Ukrainian]. https://doi.org/10.26779/2522-1396.2020.5-6.50
Giuffrida, M., Rossini, M., Pagliai, L., Del Rio, P., & Cozzani, F. (2023). Laparoscopic Intraperitoneal Onlay Mesh (IPOM): Short- and Long-Term Results in a Single Center. Surgeries (Switzerland), 4(1), 98-107. https://doi.org/10.3390/surgeries4010011
Guérin, G., & Turquier, F. (2013). Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach. Hernia, 17(5), 647-655. https://doi.org/10.1007/s10029-013-1050-6
Gupta, P., Kapoor, K., Kundra, D., Khanna, A. P., Arora, C., & Agarwal, A. (2020). Laparoscopic intraperitoneal onlay mesh repair (intraperitoneal onlay mesh plus) in 429 patients - Our experience. International Journal of Abdominal Wall and Hernia Surgery, 3(4), 144-147. https://doi.org/10.4103/ijawhs.ijawhs_19_20
Haque, M. R., Alam, M., Hossain, S. S., Khan, L., & Islam, M. A. (2023). Laparoscopic Intra Peritoneal Onlay Mesh Plus (IPOM Plus) repair of Ventral Hernias – Experience in a Tertiary Hospital. Journal of Bangladesh College of Physicians and Surgeons, 41(2), 150-155. https://doi.org/10.3329/jbcps.v41i2.64567
Kapoulas, S., Papalois, A., Papadakis, G., Tsoulfas, G., Christoforidis, E., Papaziogas, B., Schizas, D., & Chatzimavroudis, G. (2022). Safety and efficacy of absorbable and non-absorbable fixation systems for intraperitoneal mesh fixation: an experimental study in swine. Hernia, 26(2), 567-579. https://doi.org/10.1007/s10029-020-02352-x
Kurmann, A., Visth, E., Candinas, D., & Beldi, G. (2011). Long-term follow-up of open and laparoscopic repair of large incisional hernias. World journal of surgery, 35(2), 297-301. https://doi.org/10.1007/s00268-010-0874-9
Palanivelu, C., Jani, K. V., Senthilnathan, P., Parthasarathi, R., Madhankumar, M. V., & Malladi, V. K. (2007). Laparoscopic sutured closure with mesh reinforcement of incisional hernias. Hernia, 11(3), 223-228. https://doi.org/10.1007/s10029-007-0200-0
Pătrașcu, M. I., Ion, D., Bolocan, A., Păduraru, D. N., & Andronic, O. (2023). The Impact of Incisional Hernia Repair on the Quality of Life: A Narrative Review. Sudan Journal of Medical Sciences. Knowledge E. https://doi.org/10.18502/sjms.v18i2.13607
Pizza, F., D'Antonio, D., Lucido, F. S., Brusciano, L., Mongardini, F. M., Dell'Isola, C., Brillantino, A., Docimo, L., & Gambardella, C. (2023). IPOM plus versus IPOM standard in incisional hernia repair: results of a prospective multicenter trial. Hernia, 27(3), 695-704. https://doi.org/10.1007/s10029-023-02802-2
Reynvoet, E., Deschepper, E., Rogiers, X., Troisi, R., & Berrevoet, F. (2014). Laparoscopic ventral hernia repair: is there an optimal mesh fixation technique? A systematic review. Langenbeck's archives of surgery, 399(1), 55-63. https://doi.org/10.1007/s00423-013-1126-x
Saris-Baglama, R. N., Dewey, C. J., Chisholm, G. B., Plumb, E., King, J., Kosinski, M., Bjorner, J. B., & Ware, J. E., Jr. (2010). QualityMetric health outcomes™ scoring software 4.0: installation guide. Lincoln (RI): QualityMetric Incorporated. https://www.amihealthy.com/download/installationguide_scoringsoftwarev4.pdf
Schoenmaeckers, E. J., Wassenaar, E. B., Raymakers, J. T., & Rakic, S. (2010). Bulging of the mesh after laparoscopic repair of ventral and incisional hernias. JSLS : Journal of the Society of Laparoendoscopic Surgeons, 14(4), 541-546. https://doi.org/10.4293/108680810X12924466008240
Sieda, B. M., & Khali,l O. H. (2020). Short-term outcomes of laparoscopic intraperitoneal onlay mesh with facial repair (ipom-plus) for ventral hernia: a randomized controlled trial. The Egyptian Journal of Surgery, 39(3), 764-773.
Suwa, K., Okamoto, T., & Yanaga, K. (2018). Is fascial defect closure with intraperitoneal onlay mesh superior to standard intraperitoneal onlay mesh for laparoscopic repair of large incisional hernia?. Asian journal of endoscopic surgery, 11(4), 378-384. https://doi.org/10.1111/ases.12471
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish with this journal agree to the following terms:- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (SeeThe Effect of Open Access).
