Original Article

J Minim Invasive Surg 2014; 17(2): 30-35

Published online June 15, 2014

https://doi.org/10.7602/jmis.2014.17.2.30

© The Korean Society of Endo-Laparoscopic & Robotic Surgery

Laparoscopic Inguinal Hernia Repair by Intraperitoneal Onlay Mesh (IPOM) Technique in Specific Cases as an Alternative Method

Young Bae Jeon, M.D., Myung Jin Kim, M.D., Kyung Yul Hur, M.D., Ph.D.

Department of Surgery, Soonchunhyang University College of Medicine, Seoul, Korea

Received: February 17, 2014; Revised: May 19, 2014; Accepted: May 24, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Purpose: Despite advancements in surgery, laparoscopic totally extraperitoneal (TEP) repair for inguinal hernia in patients with previous lower abdominal surgeries has been a burden to surgeons. This study was conducted in order to assess the feasibility of laparoscopic intraperitoneal onlay mesh (IPOM) hernia repair as an alternative method for these cases. Methods: From May 2006 to November 2010, 48 IPOM repairs were performed in 43 patients. All medical records were reviewed retrospectively. Results: Mean age of patients was 61 years old and male to female ratio was 37:6. Five were direct and 43 were indirect hernias. There were 15 recurrent inguinal hernias after either open or laparoscopic hernia repair, and five of 15 were recurrent cases more than two times. Mean operative time was 44.5 minutes, and mean postoperative hospital stay was 1.41 days. There were two cases of postoperative swelling at the groin area and two patients complained of pain that required oral pain-killers during out-patient follow-ups. Recurrence developed in one case. Conclusion: Even though laparoscopic IPOM repair is not a preferred method for inguinal hernia, it can be applied as an alternative method in specific cases involving difficulties in approaching the usual plane of repair.

Keywords Inguinal hernia, Hernia repair, Laparoscopic intraperitoneal onlay mesh repair

  1. Hatzitheofilou C, Lakhoo M, Sofianos C, Levy RD, Velmahos G, Saadia R. Laparoscopic inguinal hernia repair by an intraperitoneal onlay mesh technique using expanded PTFE: a prospective study. Surgical Laparoscopy & Endoscopy 1997;7:451-455.
    CrossRef
  2. Dulucq JL, Wintringer P, Mahajna A. Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery: is it safe? A prospective study. Surgical Endoscopy 2006;20:473-476.
    Pubmed CrossRef
  3. Toy FK, Smoot RT, Jr. Toy-Smooth laparoscopic hernioplasty. Surgical Laparoscopy & Endoscopy 1991;1:151-155.
    Pubmed
  4. Spaw AT, Ennis BW, Spaw LP. Laparoscopic hernia repair:the anatomic basis. Journal of Laparoendoscopic Surgery 1991;1:269-277.
    Pubmed CrossRef
  5. Lichtenstein IL, Shulman AG, Amid PK. The cause, prevention, and treatment of recurrent groin hernia. The Surgical clinics of North America 1993;73:529-544.
    Pubmed
  6. Prasad P, Tantia O, Patle NM, Khanna S, Sen B. Laparoscopic ventral hernia repair: a comparative study of transabdominal preperitoneal versus intraperitoneal onlay mesh repair. Journal of Laparoendoscopic & Advanced Surgical Techniques Part A 2011;21:477-483.
    Pubmed CrossRef
  7. Choi YY, Hur KY. Simultaneous laparoscopic totally extraperitoneal repair of bilateral inguinal hernia: review of 1 surgeon experiences. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 2011;21:264-266.
    Pubmed CrossRef
  8. Fitzgibbons RJ, Jr., Camps J, Cornet DA, et al. Laparoscopic inguinal herniorrhaphy. Results of a multicenter trial. Annals of Surgery 1995;221:3-13.
    Pubmed KoreaMed CrossRef
  9. Schultz C, Baca I, Gotzen V. Laparoscopic inguinal hernia repair. Surgical Endoscopy 2001;15:582-584.
    Pubmed CrossRef
  10. Ramshaw B, Shuler FW, Jones HB, et al. Laparoscopic inguinal hernia repair: lessons learned after 1224 consecutive cases. Surgical Endoscopy 2001;15:50-54.
    Pubmed CrossRef
  11. Sayad P, Abdo Z, Cacchione R, Ferzli G. Incidence of incipient contralateral hernia during laparoscopic hernia repair. Surgical Endoscopy 2000;14:543-545.
    Pubmed CrossRef
  12. Catani M, De Milito R, Pietroletti R, et al. Is there a place for intraperitoneal onlay mesh repair (IPOM) of inguinal hernia among laparoscopic techniques? Hepatostroenterology 2004;51:1387-1392.
  13. Robinson TN, Clarke JH, Schoen J, Walsh MD. Major mesh-related complications following hernia repair: events reported to the Food and Drug Administration. Surgical Endoscopy 2005;19:1556-1560.
    Pubmed CrossRef
  14. Matthews BD, Pratt BL, Pollinger HS, et al. Assessment of adhesion formation to intra-abdominal polypropylene mesh and polytetrafluoroethylene mesh. The Journal of Surgical Research 2003;114:126-132.
    CrossRef
  15. Schumpelick V, Klinge U. Prosthetic implants for hernia repair. The British Journal of Surgery 2003;90:1457-1458.
    Pubmed CrossRef
  16. Haltmeier T, Groebli Y. Small bowel lesion due to spiral tacks after laparoscopic intraperitoneal onlay mesh repair for incisional hernia. International Journal of Surgery Case Reports 2013;4:283-285.
    Pubmed KoreaMed CrossRef
  17. Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty. Surgical Endoscopy 1995;9:140-144; discussion 144-145.
    CrossRef
  18. LeBlanc KA. Laparoscopic incisional hernia repair: are transfascial sutures necessary? A review of the literature. Surgical Endoscopy 2007;21:508-513.
    Pubmed CrossRef
  19. Sarli L, Pietra N, Choua O, Costi R, Cattaneo G. Laparoscopic hernia repair: a prospective comparison of TAPP and IPOM techniques. Surgical Laparoscopy & Endoscopy 1997;7:472476.
    CrossRef
  20. Kingsley D, Vogt DM, Nelson MT, Curet MJ, Pitcher DE. Laparoscopic intraperitoneal onlay inguinal herniorrhaphy. American Journal of Surgery 1998;176:548-553.
    CrossRef
  21. Itani KM, Fitzgibbons R, Jr., Awad SS, Duh QY, Ferzli GS. Management of recurrent inguinal hernias. Journal of the American College of Surgeons 2009;209:653-658.
    Pubmed CrossRef

Article

Original Article

J Minim Invasive Surg 2014; 17(2): 30-35

Published online June 15, 2014 https://doi.org/10.7602/jmis.2014.17.2.30

Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.

Laparoscopic Inguinal Hernia Repair by Intraperitoneal Onlay Mesh (IPOM) Technique in Specific Cases as an Alternative Method

Young Bae Jeon, M.D., Myung Jin Kim, M.D., Kyung Yul Hur, M.D., Ph.D.

Department of Surgery, Soonchunhyang University College of Medicine, Seoul, Korea

Received: February 17, 2014; Revised: May 19, 2014; Accepted: May 24, 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose: Despite advancements in surgery, laparoscopic totally extraperitoneal (TEP) repair for inguinal hernia in patients with previous lower abdominal surgeries has been a burden to surgeons. This study was conducted in order to assess the feasibility of laparoscopic intraperitoneal onlay mesh (IPOM) hernia repair as an alternative method for these cases. Methods: From May 2006 to November 2010, 48 IPOM repairs were performed in 43 patients. All medical records were reviewed retrospectively. Results: Mean age of patients was 61 years old and male to female ratio was 37:6. Five were direct and 43 were indirect hernias. There were 15 recurrent inguinal hernias after either open or laparoscopic hernia repair, and five of 15 were recurrent cases more than two times. Mean operative time was 44.5 minutes, and mean postoperative hospital stay was 1.41 days. There were two cases of postoperative swelling at the groin area and two patients complained of pain that required oral pain-killers during out-patient follow-ups. Recurrence developed in one case. Conclusion: Even though laparoscopic IPOM repair is not a preferred method for inguinal hernia, it can be applied as an alternative method in specific cases involving difficulties in approaching the usual plane of repair.

Keywords: Inguinal hernia, Hernia repair, Laparoscopic intraperitoneal onlay mesh repair

References

  1. Hatzitheofilou C, Lakhoo M, Sofianos C, Levy RD, Velmahos G, Saadia R. Laparoscopic inguinal hernia repair by an intraperitoneal onlay mesh technique using expanded PTFE: a prospective study. Surgical Laparoscopy & Endoscopy 1997;7:451-455.
    CrossRef
  2. Dulucq JL, Wintringer P, Mahajna A. Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery: is it safe? A prospective study. Surgical Endoscopy 2006;20:473-476.
    Pubmed CrossRef
  3. Toy FK, Smoot RT, Jr. Toy-Smooth laparoscopic hernioplasty. Surgical Laparoscopy & Endoscopy 1991;1:151-155.
    Pubmed
  4. Spaw AT, Ennis BW, Spaw LP. Laparoscopic hernia repair:the anatomic basis. Journal of Laparoendoscopic Surgery 1991;1:269-277.
    Pubmed CrossRef
  5. Lichtenstein IL, Shulman AG, Amid PK. The cause, prevention, and treatment of recurrent groin hernia. The Surgical clinics of North America 1993;73:529-544.
    Pubmed
  6. Prasad P, Tantia O, Patle NM, Khanna S, Sen B. Laparoscopic ventral hernia repair: a comparative study of transabdominal preperitoneal versus intraperitoneal onlay mesh repair. Journal of Laparoendoscopic & Advanced Surgical Techniques Part A 2011;21:477-483.
    Pubmed CrossRef
  7. Choi YY, Hur KY. Simultaneous laparoscopic totally extraperitoneal repair of bilateral inguinal hernia: review of 1 surgeon experiences. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 2011;21:264-266.
    Pubmed CrossRef
  8. Fitzgibbons RJ, Jr., Camps J, Cornet DA, et al. Laparoscopic inguinal herniorrhaphy. Results of a multicenter trial. Annals of Surgery 1995;221:3-13.
    Pubmed KoreaMed CrossRef
  9. Schultz C, Baca I, Gotzen V. Laparoscopic inguinal hernia repair. Surgical Endoscopy 2001;15:582-584.
    Pubmed CrossRef
  10. Ramshaw B, Shuler FW, Jones HB, et al. Laparoscopic inguinal hernia repair: lessons learned after 1224 consecutive cases. Surgical Endoscopy 2001;15:50-54.
    Pubmed CrossRef
  11. Sayad P, Abdo Z, Cacchione R, Ferzli G. Incidence of incipient contralateral hernia during laparoscopic hernia repair. Surgical Endoscopy 2000;14:543-545.
    Pubmed CrossRef
  12. Catani M, De Milito R, Pietroletti R, et al. Is there a place for intraperitoneal onlay mesh repair (IPOM) of inguinal hernia among laparoscopic techniques? Hepatostroenterology 2004;51:1387-1392.
  13. Robinson TN, Clarke JH, Schoen J, Walsh MD. Major mesh-related complications following hernia repair: events reported to the Food and Drug Administration. Surgical Endoscopy 2005;19:1556-1560.
    Pubmed CrossRef
  14. Matthews BD, Pratt BL, Pollinger HS, et al. Assessment of adhesion formation to intra-abdominal polypropylene mesh and polytetrafluoroethylene mesh. The Journal of Surgical Research 2003;114:126-132.
    CrossRef
  15. Schumpelick V, Klinge U. Prosthetic implants for hernia repair. The British Journal of Surgery 2003;90:1457-1458.
    Pubmed CrossRef
  16. Haltmeier T, Groebli Y. Small bowel lesion due to spiral tacks after laparoscopic intraperitoneal onlay mesh repair for incisional hernia. International Journal of Surgery Case Reports 2013;4:283-285.
    Pubmed KoreaMed CrossRef
  17. Phillips EH, Rosenthal R, Fallas M, et al. Reasons for early recurrence following laparoscopic hernioplasty. Surgical Endoscopy 1995;9:140-144; discussion 144-145.
    CrossRef
  18. LeBlanc KA. Laparoscopic incisional hernia repair: are transfascial sutures necessary? A review of the literature. Surgical Endoscopy 2007;21:508-513.
    Pubmed CrossRef
  19. Sarli L, Pietra N, Choua O, Costi R, Cattaneo G. Laparoscopic hernia repair: a prospective comparison of TAPP and IPOM techniques. Surgical Laparoscopy & Endoscopy 1997;7:472476.
    CrossRef
  20. Kingsley D, Vogt DM, Nelson MT, Curet MJ, Pitcher DE. Laparoscopic intraperitoneal onlay inguinal herniorrhaphy. American Journal of Surgery 1998;176:548-553.
    CrossRef
  21. Itani KM, Fitzgibbons R, Jr., Awad SS, Duh QY, Ferzli GS. Management of recurrent inguinal hernias. Journal of the American College of Surgeons 2009;209:653-658.
    Pubmed CrossRef

Metrics for This Article

Share this article on

  • kakao talk
  • line

Related articles in JMIS

Journal of Minimally Invasive Surgery

pISSN 2234-778X
eISSN 2234-5248