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Hernia
Published in: Hernia 3/2015

01-06-2015 | Original Article

Modified laparoscopic intraperitoneal onlay mesh in complicated inguinal hernia surgery

Authors: G. M. Hyllegaard, H. Friis-Andersen

Published in: Hernia | Issue 3/2015

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Abstract

Purpose

To analyse the recurrence rate and postoperative complications in inguinal hernia patients where the laparoscopic intraperitoneal onlay mesh technique (IPOM) was used due to preperitoneal fibrosis.

Methods

Patients who had undergone inguinal herniotomy with the IPOM technique at Horsens Regional Hospital during the calender years of 2004 through 2010 filled out a questionnaire specific for recurrence and postoperative complications and had a clinical examination. Furthermore the medical records and national databases were analysed for reoperations for recurrent hernias.

Results

37 patients (38 hernias) were operated. Two patients had a recurrent hernia (5 %), four patients (11 %) reported chronic pain and six patients (16 %) reported various bowel symptoms after the operation.

Conclusions

The optimal treatment of these relatively rare and complicated patients is still an issue of debate, but in the light of the present study it seems that the IPOM technique is equal to or has a better profile compared to Lichtenstein in terms of re-recurrence and chronic pain. We believe that the IPOM technique has a place in the treatment of these patients.
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Metadata
Title
Modified laparoscopic intraperitoneal onlay mesh in complicated inguinal hernia surgery
Authors
G. M. Hyllegaard
H. Friis-Andersen
Publication date
01-06-2015
Publisher
Springer Paris
Published in
Hernia / Issue 3/2015
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-014-1256-2

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