Ipom Inguinal Hernia
The ipom or tapp approach can be used to expose the inguinal region and to repair the myopectineal orifice following reduction of the hernia content by pressing the external abdominal wall.
Ipom inguinal hernia. This is intraperitoneal onlay mesh repair also called as ipom technique. A task analysis dr. Ipom repair of inguinal hernia is a feasible safe and effective procedure in the treatment of recurrent and bilateral hernias or when a hernia repair is performed during other laparoscopic procedures. Fixation of the mesh is very important in this case because sliding hernia is commonly present as a huge scrotal hernia with a larger internal ring.
The ipom has infact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties tapp and tep. In an expert consensus guided by systematic review the panel agreed that for open elective incisional hernia repair sublay mesh location is preferred but open intraperitoneal onlay mesh ipom may be useful in certain settings. A systematic search of the available literature was. Ipom repair of inguinal hernia repair may be a feasible safe and effective procedure in the treatment of a hernia repair is performed during other laparoscopic procedures.
According to dr r k mishra the ipom has infact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties. Ipom technique of inguinal hernia repair with fibrin glue. This video demonstrate laparoscopic repair of inguinal hernia demonstrated by dr. The first known description of a hernia dates back to at least 1550 bc in the ebers papyrus from egypt.
Inguinal hernias account for 75 of all abdominal wall hernias and with a lifetime risk of 27 in men and 3 in women. This education video of ipom is demonstrated in order to assess the feasibility of laparoscopic intraperitoneal onlay mesh ipom hernia repair as an alternative method for inguinal hernia repair. Mishra at world laparoscopy hospital. From february 20010 to january 2012 we performed 21 laparoscopic hernia procedures on selected patients with simple small inguinal hernia with an ipom technique combining the vipro mesh 15cm x 15 cm and a fibrin glue tissel and tackier combined technique for its fixation.
Most commonly they involve the abdomen specifically the groin. The investigators aim to conduct a registry based randomized controlled trial to investigate if the robotic platform for minimally invasive ventral hernia repair with intraperitoneal onlay mesh ipom when compared to the laparoscopic platform will influence on early postoperative pain scores wound morbidity surgical site infections surgical site occurrences and surgical site occurrences. Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery.