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Protasov A.V.

Peoples’ Friendship University, Moscow, Russia

Titarov D.L.

Peoples’ Friendship University, Moscow, Russia

Chernova M.N.

Peoples’ Friendship University, Moscow, Russia

Kurikhin I.V.

Peoples’ Friendship University, Moscow, Russia

Al-Huri Sh.A.

Central State Medical Academy of the Administrative Department of the President of the Russian Federation, Moscow, Russia

Comparative analysis of Sublay and IPOM techniques in the treatment of ventral hernias (MW1—MW2): clinical and economic review of the literature

Authors:

Protasov A.V., Titarov D.L., Chernova M.N., Kurikhin I.V., Al-Huri Sh.A.

More about the authors

Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2026;10(1): 71‑78

DOI: 10.17116/operhirurg20261001171

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Table of contents

COMPARATIVE ANALYSIS OF SUBLAY AND IPOM TECHNIQUES IN THE TREATMENT OF VENTRAL HERNIAS (MW1—MW2): CLINICAL AND ECONOMIC REVIEW OF THE LITERATURE
COMPARATIVE ANALYSIS OF SUBLAY AND IPOM TECHNIQUES IN THE TREATMENT OF VENTRAL HERNIAS (MW1—MW2): CLINICAL AND ECONOMIC REVIEW OF THE LITERATURE

To cite this article:

Protasov AV, Titarov DL, Chernova MN, Kurikhin IV, Al-Huri ShA. Comparative analysis of Sublay and IPOM techniques in the treatment of ventral hernias (MW1—MW2): clinical and economic review of the literature. Russian Journal of Operative Surgery and Clinical Anatomy. 2026;10(1):71‑78. (In Russ.)
https://doi.org/10.17116/operhirurg20261001171

Подписка 2026 Оперативная хирургия и клиническая анатомия (Пироговский научный журнал) (Russian Journal of Operative Surgery and Clinical Anatomy)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

BACKGROUND

Despite the progress of laparoscopic surgery, the optimal repair technique for ventral hernias (MW1—MW2) remains debated. The Sublay and IPOM approaches differ in their surgical philosophy, complication profiles, and cost-effectiveness.

OBJECTIVE

To perform a comparative clinical and economic analysis of Sublay and IPOM techniques in the treatment of ventral hernias (MW1—MW2), assessing complication rates, quality of life, and treatment costs.

MATERIAL AND METHODS

A literature review covering 1998—2024 was conducted, including the Cochrane review, Herniamed and EVEREG registries, and Russian Ministry of Health surgical data. Parameters assessed included postoperative complications (Clavien—Dindo), hospital stay, recurrence rate, quality of life, and cost structure.

RESULTS

The Sublay method shows higher rates of minor complications (Clavien—Dindo I—II), such as seromas and superficial infections, but almost no severe visceral injuries. The IPOM technique offers faster recovery and lower SSI rates but carries increased risks of enterotomy and high material costs. In Russia, the share of IPOM repairs remains around 6.8—7.2%. Economic analysis demonstrates the cost-efficiency of the Sublay technique due to low-priced polypropylene meshes and higher profitability under public insurance tariffs.

CONCLUSION

Sublay and IPOM are complementary, not competing, surgical techniques. The choice should be individualized based on defect morphology, hospital resources, and cost factors. Sublay ensures anatomic reconstruction and durable outcomes, while IPOM provides minimal invasiveness and faster recovery at higher expense.

Keywords:

ventral hernia
Sublay
IPOM
hernioplasty
laparoscopy

Authors:

Protasov A.V.

Peoples’ Friendship University, Moscow, Russia

Titarov D.L.

Peoples’ Friendship University, Moscow, Russia

Chernova M.N.

Peoples’ Friendship University, Moscow, Russia

Kurikhin I.V.

Peoples’ Friendship University, Moscow, Russia

Al-Huri Sh.A.

Central State Medical Academy of the Administrative Department of the President of the Russian Federation, Moscow, Russia

Received:

20.11.2025

Accepted:

18.12.2025

Close metadata

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