Laparoscopic Intraperitoneal Onlay Mesh (IPOM) and IPOM Plus

Abstract

AbstractMinimally Invasive Surgery has revolutionized the surgical practice by imparting its ability to avoid major abdominal wall incisions [1]. It is expected that laparoscopic surgery might reduce the burden of incisional hernias which is the most common complication after abdominal surgery and despite ongoing research in wound closure and reparative techniques, abdominal incisional hernia remains an unresolved problem [1]. The outcome of incisional hernia may have major social and economic implications and worldwide 10–30% of patients undergoing laparotomy will develop an incisional hernia and subsequent conventional open repair often fails to adequately address this substantial problem [2]. The recurrence rate for primary tissue repairs may approach the 35% range, which is higher than the primary occurrence rate; when repaired for recurrence, rates have been reported greater than 50%. Although the advent of prosthetic repair has significantly reduced the recurrence rate compared with that of primary suture repair, it remains in the ranges of 10–24% [3].