Department of Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium.
Hernia. 2019 Oct;23(5):915-925. doi: 10.1007/s10029-019-02031-6. Epub 2019 Aug 27.
Ventral hernia repair has become a common procedure, but the way in which it is performed still depends on surgeon's skill, experience, and habit. The initial open approach is faced with extensive dissection and a high risk of infection and prolonged hospital stay. To tackle these problems, minimally invasive procedures are gaining interest. Several new techniques are emerging, but laparoscopic intra-peritoneal onlay mesh (IPOM) is still the mainstay for many surgeons. We will discuss why laparoscopic IPOM is still a valuable approach in the treatment of primary non-complicated midline hernias and review the current literature.
We performed a literature search across PubMed and MEDLINE using the following search terms: "Laparoscopic hernia repair", "Ventral hernia repair" and "Primary ventral hernia". Articles corresponding to these search terms were individually reviewed by the primary author and selected on relevance.
Laparoscopic IPOM still is a good approach for the efficient treatment of primary non-complicated midline hernias. Several techniques are emerging, but are faced with increased costs, technical difficulties, and low study patient volume. Further research is warranted to show superiority and applicability of these new techniques over laparoscopic IPOM, but until then laparoscopic IPOM should remain the go-to technique.
腹疝修补术已成为一种常见的手术，但手术方式仍取决于外科医生的技能、经验和习惯。最初的开放式方法面临广泛的解剖和高感染风险以及住院时间延长的问题。为了解决这些问题，微创手术越来越受到关注。出现了几种新技术，但腹腔镜腹腔内补片修补术（IPOM）仍然是许多外科医生的主要方法。我们将讨论为什么腹腔镜 IPOM 仍然是治疗原发性非复杂性中线疝的一种有价值的方法，并回顾当前的文献。
我们在 PubMed 和 MEDLINE 上使用以下搜索词进行文献检索：“腹腔镜疝修补术”、“腹疝修补术”和“原发性腹疝”。主要作者对相应于这些搜索词的文章进行了单独审查，并根据相关性进行了选择。
腹腔镜 IPOM 仍然是治疗原发性非复杂性中线疝的有效方法。出现了几种新技术，但面临着成本增加、技术困难和研究患者数量低的问题。需要进一步的研究来证明这些新技术相对于腹腔镜 IPOM 的优越性和适用性，但在此之前，腹腔镜 IPOM 仍应是首选技术。
