Our Summary

This research paper talks about a common surgery for repairing abdominal hernias known as Laparoscopic incisional hernia repair using intraperitoneal onlay mesh (IPOM). In this surgery, a mesh is inserted in the abdomen through a small incision to fix the hernia. The mesh’s placement is critical to the operation’s success, and any mistakes can cause complications like intestinal obstruction or infection.

The study introduces a new method called “contraposition and alignment” for placing the mesh. Before the operation, the surgeon marks where the mesh should go, making it easier to place the mesh correctly during the surgery. A well-placed mesh lies flat, has no curled or wrapped edges, and stays in place even after pressure is removed.

The new method has several benefits. It makes the mesh placement more reliable, reduces complications, and is easier for surgeons to learn. It also allows the surgeon to plan where to use the fixing tool, reducing the number of fixings needed. This can reduce complications and lower surgery costs.

Therefore, the research suggests that this new mesh-fixing method is highly suitable for use in real-life medical settings due to these benefits.

FAQs

  1. What is Laparoscopic incisional hernia repair using intraperitoneal onlay mesh (IPOM)?
  2. What is the new “contraposition and alignment” method introduced in the study for placing the mesh during hernia repair?
  3. What are the benefits of the new mesh-fixing method in Laparoscopic incisional hernia repair?

Doctor’s Tip

A helpful tip a doctor might tell a patient about laparoscopic hernia repair using intraperitoneal onlay mesh is to discuss with the surgeon about the contraposition and alignment method for mesh placement. This technique can help ensure a successful surgery with fewer complications and a quicker recovery. Make sure to ask your surgeon about this method and how it can benefit your specific situation.

Suitable For

Typically, patients recommended for laparoscopic hernia repair are those with abdominal hernias that are suitable for this minimally invasive procedure. This includes patients with inguinal hernias, umbilical hernias, incisional hernias, and other types of ventral hernias. Patients who are generally healthy and able to tolerate surgery are good candidates for laparoscopic hernia repair. However, each patient’s case is unique, and a thorough evaluation by a healthcare provider is necessary to determine the most appropriate treatment plan.

Timeline

Timeline:

Before Laparoscopic Hernia Repair:

  1. Patient consults with a surgeon to discuss symptoms and diagnostic tests are conducted to confirm the presence of a hernia.
  2. Surgeon recommends laparoscopic hernia repair as the treatment option.
  3. Patient undergoes pre-operative preparation, which may include fasting and stopping certain medications.
  4. Patient is informed about the procedure, risks, and benefits of the surgery.

During Laparoscopic Hernia Repair:

  1. Patient is put under general anesthesia.
  2. Surgeon makes small incisions in the abdomen and inserts a laparoscope to view the hernia.
  3. Mesh is inserted through the incisions and placed over the hernia defect.
  4. The mesh is fixed in place using the contraposition and alignment method.
  5. Surgeon ensures the mesh lies flat and securely covers the hernia defect.
  6. Incisions are closed with sutures or surgical glue.

After Laparoscopic Hernia Repair:

  1. Patient is monitored in the recovery room for any immediate complications.
  2. Patient may experience some pain and discomfort in the abdomen, which can be managed with pain medication.
  3. Patient is discharged home the same day or after a short hospital stay.
  4. Patient is advised on post-operative care, including wound care, activity restrictions, and follow-up appointments.
  5. Patient gradually resumes normal activities and may experience improved symptoms related to the hernia.
  6. Patient follows up with the surgeon for a post-operative check-up to ensure proper healing and recovery.

Overall, laparoscopic hernia repair using the contraposition and alignment method offers a minimally invasive and effective treatment option for patients with abdominal hernias.

What to Ask Your Doctor

  1. How experienced are you in performing laparoscopic hernia repair surgeries?
  2. Can you explain the contraposition and alignment method for placing the mesh during the surgery?
  3. What are the potential complications or risks associated with laparoscopic hernia repair using intraperitoneal onlay mesh?
  4. How long is the recovery time after this type of surgery?
  5. Will I need to follow any specific post-operative care instructions?
  6. What are the success rates for this type of surgery?
  7. Are there any alternative treatment options for my hernia?
  8. How long do you expect the mesh to last in my abdomen?
  9. Will I need any follow-up appointments after the surgery?
  10. What should I do if I experience any complications or side effects after the surgery?

Reference

Authors: Ma N, Tang D, Tang FX, Huang EM, Ma T, Yang WS, Liu CX, Huang HN, Chen S, Zhou TC. Journal: J Vis Exp. 2022 Dec 23;(190). doi: 10.3791/64916. PMID: 36622030