Description

This video demonstrate laparoscopic inguinal hernia by IPOM. Dr R K Mishra report their experience on laparoscopic hernioplasty using the Intraperitoneal Onlay Mesh Repair (IPOM). Many patients had a bilateral hernia, and many of which were recurrent and some had recurrent hernia. Overall, a total of 85 hernias were treated. The hernia repair was performed utilizing Polyurathane Dual Mesh. The prostheses were fixed with titanium spiral tacks (Protack, AutoSuture, Tyco Healthcare). No intraoperative complications occurred and no conversion was necessary. Mean resumption of normal activity was 10 days with return to work within two weeks. At an average 24 months follow-up, were recorded. The results of this study as well as the meta-analysis of the series presented in the Literature, indicate that the IPOM may be a feasible, safe and effective procedure in the treatment of inguinal hernia repair is performed during other laparoscopic procedures. The IPOM has infact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). 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 experience and the short follow-up ask for long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.