Laparoscopic IPOM Inguinal Hernia Surgery Technique
IPOM Inguinal Hernia
World Laparoscopy Hospital is delighted to release a special focus dedicated to minimally invasive inguinal hernia surgery. The IPOM (Intraperitoneal Onlay Mesh) has been started at World Laparoscopy Hospital in 2010 for Inguinal Hernia. Our hospital as performed first time in the World suturing technique to fix the mesh for inguinal hernia. This technique is a special repair procedure where a mesh is introduced into the abdominal cavity and placed from the inside over the hernia opening.
In 1982, Ger reported the repair of inguinal hernias in 13 patients with a stapling device; the 13th patient in this series underwent a laparoscopic repair, the earliest recorded attempt utilizing this minimally invasive technique.
IPOM repair of Inguinal hernia repair may be a feasible, safe and effective procedure in the treatment of a hernia repair is performed during other laparoscopic procedures. According to our experience the IPOM has infact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties. These data may also suggest to utilize this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.
Many surgeons who explored this approach to hernia repair found the learning process to be longer and more challenging than that seen for laparoscopic cholecystectomy or open herniorrhaphy. For this and other reasons, the optimal and most appropriate use of the laparoscopic hernia repair technique remains a subject of debate among general surgeons. IPOM technique has open the easyway to perform laparoscopic inguinal hernia.
The IPOM technique focused on the placement of an intra-abdominal piece of a prosthetic biomaterial usually a polypropylene or expanded polytetrafluoroethylene fixed with either stapling devices or suture. The repair does not involve the dissection of the peritoneum. The advantages of this repair is the lack of significant dissection of the preperitoneal space and the rapid placement of the prosthesis.
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Yours faithfully,
Dr. R. K. Mishra
Chairman and Director
World Laparoscopy Hospital