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01-10-2019 | Incisional Hernia | Original Article

Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?

Authors: S. Van Hoef, T. Tollens

Published in: Hernia | Issue 5/2019

Abstract

Purpose

Ventral hernia repair has become a common procedure, but the way in which it is performed still depends on surgeon’s skill, experience, and habit. The initial open approach is faced with extensive dissection and a high risk of infection and prolonged hospital stay. To tackle these problems, minimally invasive procedures are gaining interest. Several new techniques are emerging, but laparoscopic intra-peritoneal onlay mesh (IPOM) is still the mainstay for many surgeons. We will discuss why laparoscopic IPOM is still a valuable approach in the treatment of primary non-complicated midline hernias and review the current literature.

Methods

We performed a literature search across PubMed and MEDLINE using the following search terms: “Laparoscopic hernia repair”, “Ventral hernia repair” and “Primary ventral hernia”. Articles corresponding to these search terms were individually reviewed by the primary author and selected on relevance.

Conclusion

Laparoscopic IPOM still is a good approach for the efficient treatment of primary non-complicated midline hernias. Several techniques are emerging, but are faced with increased costs, technical difficulties, and low study patient volume. Further research is warranted to show superiority and applicability of these new techniques over laparoscopic IPOM, but until then laparoscopic IPOM should remain the go-to technique.

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Title: Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?
Authors: S. Van Hoef
T. Tollens
Publication date: 01-10-2019
Publisher: Springer Paris
Keyword: Incisional Hernia
Published in: Hernia / Issue 5/2019
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-019-02031-6

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?

Abstract

Purpose

Methods

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Conclusion

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