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Makarov S.A.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital

Armashov V.P.

Pirogov Russian National Research Medical University

Belousov A.M.

Loginov Moscow Clinical Scientific Center

Kupriyanova A.S.

Medical University «Reaviz»

Matveev N.L.

Pirogov Russian National Research Medical University

The place of laparoscopic IPOM repair in the surgical treatment of midline ventral hernias — lessons learned from seven years of prospective experience. Perioperative and early postoperative results

Authors:

Makarov S.A., Armashov V.P., Belousov A.M., Kupriyanova A.S., Matveev N.L.

More about the authors

Journal: Endoscopic Surgery. 2022;28(2): 5‑15

DOI: 10.17116/endoskop2022280215

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To cite this article:

Makarov SA, Armashov VP, Belousov AM, Kupriyanova AS, Matveev NL. The place of laparoscopic IPOM repair in the surgical treatment of midline ventral hernias — lessons learned from seven years of prospective experience. Perioperative and early postoperative results. Endoscopic Surgery. 2022;28(2):5‑15. (In Russ.)
https://doi.org/10.17116/endoskop2022280215

Подписка 2025 (Endoscopic Surgery)
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ABSRACT

OBJECTIVE

Since LapIPOM is currently being challenged by new minimally invasive extraperitoneal techniques of ventral hernia repair, it seems appropriate to publish a detailed analysis of LapIPOM results, which may help to more accurately determine the place of this operation in the spectrum of ventral hernia treatment.

MATERIAL AND METHODS

A prospective group of 247 patients, 70 men (28.3%), who underwent LapIPOM for primary or postoperative midline ventral hernias, was analyzed. 253 laparoscopic IPOM hernia repairs were performed (80 for incisional hernias, and 173 for primary hernias). A standardized surgical technique is described. Perioperative and early postoperative (up to 30 days) results were traced and compared with those of the series published over the past two decades.

RESULTS

The average operative time was 47 min. for primary hernias, and 82 min. for postoperative ones. The incidence of enterotomy was 2.5% for incisional hernias and zero for primary hernias, on average 0.79%. There was no deep infection in the area of surgical intervention, the superficial one was less than 2%. At discharge, the mean postoperative pain score according to VAS was 2.91. There were no re-hospitalizations and reoperations associated with the surgical treatment of hernias during the 30-day postoperative period.

CONCLUSION

Short-term follow-up of patients shows that LapIPOM, within the limits of indications, has a number of advantages over other types of hernia repairs: it is performed relatively quickly, is easy to reproduce, preserves the integrity of the unaltered parts of the abdominal wall, and is accompanied by minimal complications.

Keywords:

ventral hernia
laparoscopic hernia repair
IPOM

Authors:

Makarov S.A.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital

Armashov V.P.

Pirogov Russian National Research Medical University

Belousov A.M.

Loginov Moscow Clinical Scientific Center

Kupriyanova A.S.

Medical University «Reaviz»

Matveev N.L.

Pirogov Russian National Research Medical University

Received:

04.11.2021

Accepted:

14.01.2022

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