Complications of IPOM Plasty – Our Experience

Česká verzia

Authors: F. Fidler; J. Kašík
Authors place of work: Oddělení všeobecné chirurgie, Nemocnice Na Homolce, Praha, primář: MUDr. František Fidler, CSc.
Published in the journal: Rozhl. Chir., 2009, roč. 88, č. 7, s. 394-397.
Category: Monothematic special - Original

Summary

Laparoscopic IPOM (Intraperitoneal Onlay mesh, method of intraperitoneal placement of mesh) hernioplasty, using the artificial mesh and when the method is managed sufficiently, has been used mainly for larger ventral hernias either in linea alba or more for incisional and Spiegel hernias. IPOM hernioplasty were supposed to be the gold standard for these hernioplasties, mainly for their rapidity, total view during operation and good recovery after it. There have been performed these operations also for inguinal hernias at several Surgical departments.

There is a lot of studies proving safety of this method. On the other hand there exist studies pointing out severe postoperative complications of this method. These are both inflammatory and adhesive and they make threat for their long-term manifestation after primary operation and also for every next abdominal operation. We have had patients with both of these complications in our set. Considering this method for hernioplasty, we stopped performing IPOM.

Key words:
IPOM (Intraperitoneal Onlay mesh) – hernioplasty – artificial mesh – complication

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