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Pankratov A.A.

Russian University of Medicine, Moscow, Russia;
Demikhov Moscow City Clinical Hospital, Moscow, Russia

Avyasov D.I.

Russian University of Medicine, Moscow, Russia;
Demikhov Moscow City Clinical Hospital, Moscow, Russia

Kulikov I.I.

Demikhov Moscow City Clinical Hospital, Moscow, Russia

Matkov I.V.

Demikhov Moscow City Clinical Hospital, Moscow, Russia

Plusnin B.I.

Russian University of Medicine, Moscow, Russia

Mamonov D.A.

Russian University of Medicine, Moscow, Russia;
Demikhov Moscow City Clinical Hospital, Moscow, Russia

Safronov D.A.

Russian University of Medicine, Moscow, Russia

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

Authors:

Pankratov A.A., Avyasov D.I., Kulikov I.I., Matkov I.V., Plusnin B.I., Mamonov D.A., Safronov D.A.

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Journal: Pirogov Russian Journal of Surgery. 2026;(3): 41‑48

DOI: 10.17116/hirurgia202603141

Read: 640 times

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Table of contents

LAPAROSCOPIC IPOM+ VERSUS IPOM FOR VENTRAL HERNIA REPAIR — ARE THERE CLEAR ADVANTAGES? A RETROSPECTIVE ANALYSIS
LAPAROSCOPIC IPOM+ VERSUS IPOM FOR VENTRAL HERNIA REPAIR — ARE THERE CLEAR ADVANTAGES? A RETROSPECTIVE ANALYSIS

To cite this article:

Pankratov AA, Avyasov DI, Kulikov II, Matkov IV, Plusnin BI, Mamonov DA, Safronov DA. Laparoscopic IPOM+ versus IPOM for ventral hernia repair — are there clear advantages? A retrospective analysis. Pirogov Russian Journal of Surgery. 2026;(3):41‑48. (In Russ.)
https://doi.org/10.17116/hirurgia202603141

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

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

No significant differences in recurrence rate were obtained. There were 6 (2.26%) cases of paraprosthetic infection in the IPOM group and 6 (6.9%) cases in the IPOM+ group (p<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.

Keywords:

ventral hernia
laparoscopic hernioplasty
IPOM
IPOM+

Authors:

Pankratov A.A.

Russian University of Medicine, Moscow, Russia;
Demikhov Moscow City Clinical Hospital, Moscow, Russia

Avyasov D.I.

Russian University of Medicine, Moscow, Russia;
Demikhov Moscow City Clinical Hospital, Moscow, Russia

Kulikov I.I.

Demikhov Moscow City Clinical Hospital, Moscow, Russia

Matkov I.V.

Demikhov Moscow City Clinical Hospital, Moscow, Russia

Plusnin B.I.

Russian University of Medicine, Moscow, Russia

Mamonov D.A.

Russian University of Medicine, Moscow, Russia;
Demikhov Moscow City Clinical Hospital, Moscow, Russia

Safronov D.A.

Russian University of Medicine, Moscow, Russia

Received:

14.03.2025

Accepted:

05.05.2025

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References:

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