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Erschienen in: Hernia 5/2019

27.08.2019 | Original Article

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

verfasst von: S. Van Hoef, T. Tollens

Erschienen in: Hernia | Ausgabe 5/2019

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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.
Literatur
33.
Zurück zum Zitat LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 3:39–41 PubMed LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 3:39–41 PubMed
Metadaten
Titel
Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?
verfasst von
S. Van Hoef
T. Tollens
Publikationsdatum
27.08.2019
Verlag
Springer Paris
Erschienen in
Hernia / Ausgabe 5/2019
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-02031-6