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  • Laparoscopic Repair of Inguinal Hernias Using an Intraperitoneal Onlay Mesh (IPOM) Technique–Early Single Centre Experience

    Hany A. Balamoun MD FRCS, Mohamed Y. Aly MD MRCS, Ahmed Abd Al Aziz MD MRCS, Mahmoud Ameen MSc
    Department of General Surgery, Cairo University, Egypt

    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.