EARLY RESULT OF LAPAROSCOPIC INCISIONAL HERNIA REPAIR BY IPOM

Abstract

Background: Incisional hernia (IH) is a more common complication after laparotomy. Laparoscopy of IH repair by intra peritoneal onlay mesh (IPOM) has been widely used on the world. This study evaluates the early result of IPOM procedure.

Objectives: The characteristic of clinical examination and CTScaner of IH, and the early postoperative complications of IPOM.

Method: Retrospective case series in Gia Dinh hospital from 03/2018 to 12/2020.

Results: We had 48 patients who performed IPOM procedure. The mean of age was 64.4 ± 10.5, including 35 women (72.9%), BMI was 24.7 ± 3.8 kg/m2, 45 cases (93.8%) admitted because of the protrusion hernia. The size of hernia defect was 31 ± 33.5 cm2, the most location of hernia was the lower of umbilicus. The mean of operative time was 145.7 ± 48.2 minutes. 39 cases (81.3%) had closure of hernia defects. The mean of overlap was 5.2 ± 1.1 cm. Mesh fixation by protack, suture, and both of them were 3 (6.2%), 6 (12.5%) and 39 (81.3%) respectively. Postoperative complications were 5 seroma (10.4%), 1 enterotomy (2.1%) and 1 bladder injury (2.1%). The mean of hospital stay was 3.6 ± 1.8 days.

Conclusion: IPOM procedure was safe with low morbility and mortality.

Keywords: insicional hernia, laparoscopy