Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr;79(2):96-100.
doi: 10.1007/s12262-015-1430-5. Epub 2016 Jan 21.

A Randomised Prospective Study to Evaluate Preperitoneal Mesh Repair Versus Onlay Mesh Repair and Laparoscopic IPOM in Incisional Hernia Surgery

S Natarajan  1   2 , S Meenaa  1 , K A Thimmaiah  1
Affiliations

A Randomised Prospective Study to Evaluate Preperitoneal Mesh Repair Versus Onlay Mesh Repair and Laparoscopic IPOM in Incisional Hernia Surgery

S Natarajan et al. Indian J Surg. 2017 Apr.

Abstract

Incisional hernia remains a very common postoperative complication. These are encountered with an incidence of up to 20 % following laparotomy. These hernias enlarge over time, making the repair difficult, and serious complications like bowel obstruction, strangulation and enterocutaneous fistula can occur. Hence, elective repair is indicated to avoid these complications. Implantation of a prosthetic mesh is nowadays considered as the standard treatment due to low hernia recurrence. The most common mesh repair techniques used are the onlay repair, sublay repair and laparoscopic intraperitoneal onlay mesh (IPOM). However, it is still not clear which technique among the three is superior. A study consisting of 30 patients who underwent incisional hernia repair by onlay, laparoscopic and preperitoneal mesh repair with abdominoplasty was conducted in the Coimbatore Medical College and Hospital. Of the three groups, the preperitoneal repair with abdominoplasty was found to have better patient compliance and satisfaction with regard to occurrence of complications and appearance of the abdominal wall without laxity in a single sitting.

Keywords: Incisional hernia; Laparoscopic IPOM; Onlay mesh repair; Preperitoneal mesh repair.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Intraoperative picture of preperitoneal repair
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Mudge M, Hughes LE. Incisional hernia: a 10 year prospective study of incidence and attitudes. Br J Surg. 1985;72:70–71. doi: 10.1002/bjs.1800720127. - DOI - PubMed
    1. Read RC, Yoder G. Recent trends in the management of incisional herniation. Arch Surg. 1989;124:485–488. doi: 10.1001/archsurg.1989.01410040095022. - DOI - PubMed
    1. Den Hartog D, Dur AH, Tuinebreijer WE, et al (2008) Open surgical procedures for incisional hernias. Cochrane Database Syst Rev (3):CD006438 - PMC - PubMed
    1. de Vries Reilingh TS, van Geldere D, Langenhorst B, de Jong D, et al. Repair of large midline incisional hernias with polypropylene mesh comparison of three operative techniques. Hernia. 2004;8(1):56–59. doi: 10.1007/s10029-003-0170-9. - DOI - PubMed
    1. Kurzer M, Kark A, Selouk S, Belsham P, et al. Open mesh repair of incisional hernia using a sublay technique: long-term follow-up. World J Surg. 2008;32(1):31–36. doi: 10.1007/s00268-007-9118-z. - DOI - PubMed

LinkOut - more resources