Laparoscopic IPOM+ versus IPOM for ventral hernia repair — are there clear advantages? A retrospective analysis

Résumé fourni par la source

OBJECTIVE: Optimal surgical treatment of ventral hernias is still a controversial issue. Hypothetically obvious advantage of IPOM+ is not always confirmed in practice. MATERIAL AND METHODS: A retrospective comparative analysis of treatment outcomes included 399 patients with ventral hernias who underwent laparoscopic intraperitoneal repair without suturing (IPOM) and with suturing of hernia defect (IPOM+) in 2020-2024. Of these, 331 (83%) patients underwent elective surgery, 68 (17%) ones - emergency surgery for hernia impingement. Outcomes were evaluated via analysis of outpatient database, EMC and registration of recurrences. RESULTS: <0.05). Postoperative seromas occurred in 1 (1.15%) patient after IPOM+ repair and 12 (4.53%) patients after IPOM procedure. None patient had chronic pain syndrome. Mean surgery time was significantly shorter in the IPOM group. CONCLUSION: IPOM+ does not affect the incidence of recurrences and fluid accumulations increasing the risk of paraprosthetic infection.

Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.