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Armashov V.P.

Pirogov Russian National Research Medical University

Matveev N.L.

Pirogov Russian National Research Medical University

Makarov S.A.

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

Existing and forward-looking ways to prevent adhesions in IPOM hernia repair. A research overview

Authors:

Armashov V.P., Matveev N.L., Makarov S.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2020;(9): 116‑122

DOI: 10.17116/hirurgia2020091116

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To cite this article:

Armashov VP, Matveev NL, Makarov SA. Existing and forward-looking ways to prevent adhesions in IPOM hernia repair. A research overview. Pirogov Russian Journal of Surgery. 2020;(9):116‑122. (In Russ.)
https://doi.org/10.17116/hirurgia2020091116

Подписка 2025 (Pirogov Russian Journal of Surgery)
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IPOM intraperitoneal hernia repair, in comparison with other abdominal wall reconstruction methods, has a number of significant advantages. Among them are a reduction in operative time, low rate of surgical site infections, quick rehabilitation, and good cosmetic results. At the same time, one of the main constraining factors for its widespread use is the rather high frequency of adhesion formation between the implant and the abdominal organs. The first way to solve this serious problem is to improve the structure of the implant itself, and in the first place, its anti-adhesive layer. The second is the search for adjuvant tools that work in «problematic» areas, prone to adhesions formation, such as the points of implant fixation, its edges, or the areas of damage to antiadhesive layer due to a violation of the operative technique. It is desirable that they could exert their effect also in other parts of the abdominal cavity, which, despite the absence of a zone of «active» intervention, can also undergo adhesions. Based on this, the purpose of this review was to summarize modern data on the anti-adhesive activity of both composite implants and specialized membranes and liquid agents.

Keywords:

hernia
intraperitoneal onlay mesh (IPOM) technique
abdominal adhesions
prevention of adhesions
adhesion barrier
icodextrin

Authors:

Armashov V.P.

Pirogov Russian National Research Medical University

Matveev N.L.

Pirogov Russian National Research Medical University

Makarov S.A.

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

Received:

02.06.2020

Accepted:

28.06.2020

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