Complications of IPOM plasty--our experience

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 herni...

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Bibliographic Details
Published in:	Rozhledy v chirurgii Vol. 88; no. 7; p. 394
Main Authors:	Fidler, F, Kasík, J
Format:	Journal Article
Language:	Czech
Published:	Czech Republic 01-07-2009
Subjects:	Adult Aged Female Hernia, Inguinal - surgery Hernia, Ventral - surgery Humans Laparoscopy Male Middle Aged Postoperative Complications Surgical Mesh - adverse effects
Online Access:	Get more information
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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.
ISSN:	0035-9351