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KMID : 1035920140170020030
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Journal of Minimally Invasive Surgery
2014 Volume.17 No. 2 p.30 ~ p.35
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Laparoscopic Inguinal Hernia Repair by Intraperitoneal Onlay Mesh (IPOM) Technique in Specific Cases as an Alternative Method
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Jeon Young-Bae
Kim Myung-Jin
Hur Kyung-Yul
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Abstract
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Purpose: Despite advancements in surgery, laparoscopic to-tally 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 re-pairs 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 re-current 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 de-veloped 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.
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KEYWORD
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Inguinal hernia, Hernia repair, Laparoscopic in-traperitoneal onlay mesh repair
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