Ahmed Mohammed Kamal; Haitham Mostafa Elmaleh; and Mahmoud Saad Farahat
Mustafa AboEl-Soud, Ashraf El-Sebaie, Ayman Noaman
Mohamed Sabry, (M.Sc.); Ahmed Samir Hosny, M.D.MRCS (ED); Ahmed El Mahrouky. M.D. MRCS (Eng); Ahmed Gamal. M.D. MRCS (Eng)
Aly H. Mebed, 2Ahmed A. Kotb
Hany Abdel Mawla Mohamed M.Sc, Maher Abd ElMoneim M.D, Mohamed EL-Maadawy M.D.
Amr Elbahaey, Amr Abdulbaky, Hasan Soliman, Ashraf Hidayet
Mustafa AboEl-Soud, Ashraf El-Sebaie, Ayman Noaman, Tamer Mousaad
Wael L Tobar, Ahmed Abdel Moaty El Nagaar
Hany A. Balamoun MD FRCS, Mohamed Y. Aly MD MRCS, Ahmed Abd Al Aziz MD MRCS, Mahmoud Ameen MSc
Mohamed Hazem MD, Ashraf Abolfotooh Khalil MD, Sameh Elnomany MD, Amr Ibrahim Fouad MD
Ayman M. A. Ali MD. & Ahmed Gaber Mahmoud MD.
1Al-Salami A., Al- Saleh, Saleh Al-S., Al-Arami A.
1Al-Salami A., 2Mohammed A., 2Abdulelah G., 2†Bakhder I. M.
MoatasemBellah Abdel HameedErfan, Mahmoud FouadReda , Ahmad Gamal El Din Fouad , Mohammed Ali Hassan , Mohamed Hossny El Dessoki
Tarek Hegazy MD , Nader Zaki MD
Laparoscopic Repair of Inguinal Hernias Using an Intraperitoneal Onlay Mesh (IPOM) Technique–Early Single Centre Experience
Inguinal hernia repair is one of the most frequently performed operations in the field of general surgery.
Laparoscopic repair of inguinal hernias is usually achieved by totally extraperitoneal (TEP) or
transabdominal preperitoneal (TAPP) techniques. The intraperitoneal onlay mesh (IPOM) could be an
interesting alternative as it is much easier to perform and faster to execute. This technique is subject to
correct selection of indications and to demonstration of its safety. Aim of the study: To assess feasibility
and safety of IPOM technique in repair of inguinal hernias. Materials and methods: From January 2013 to
January 2014 we performed 15 laparoscopic inguinal hernia procedures on 15 selected patients ( 15 males
of mean age 37 years ) who were enrolled in a prospective trial. All patients were treated using the
laparoscopic IPOM technique. Patients were checked one month, three months, six months and nine
months post-operatively. Results: A mean operative time of 35.5 minutes. A mean follow up of 7.6 months,
with average hospital stay of one day. In the early postoperative period one patient deveoped urine
retentionn and required urethral catheterisation for 12 hours, and two patients had scrotal oedema with
complete reolution in one week. We had no conversions or mortality. Pain was assessed 24 hours, 48 hours
postoperatively and on the 7th postoperative day. Pain was mild in 14 patient (93.3%) and moderate only in
one patient(6.6%) with marked improvemnet of pain on the second postoperative day and no pain on the 7th
postopertaive day. Conclusion: Laparoscopic IPOM technique may be a feasible, safe and effective
procedure in the treatment of inguinal hernias. IPOM repair has in fact been shown to be fast and easy
technique, with the chance to use it in unilateral, bilateral and especially in recurrent ingunial hernias.