V-057 INTRAPERITONEAL ONLAY MESH (IPOM) TECHNIQUE FOR THE LAPAROSCOPIC TREATMENT OF INGUINAL HERNIA

Abstract Laparoscopic treatment of inguinal hernia is a widely accepted technique, especially in the case bilateral or recurrent hernias. The evolution materials has led to successful use double layer prostheses for intraperitoneal wall defects, significantly reducing mesh-related complications. In this regard, literature data and availability non-absorbable, transparent, light surgical polypropylene, composed macroporous monofilament mesh transparent film, have re-proposal IPOM technique also primary After laparoscopic access abdomen using 10 mm trocar umbilical region two 5 trocars operating Iliac fossae, reduced by returning hernial contents their original compartments sac closed with possible lipoma purse-string suture. Subsequently, polypropylene composite prosthesis then inserted into abdomen, centered on defect fixed tack chemical glue. To date we performed procedures 6 patients (4 hernia). longest follow-up one year. were all discharged day after surgery, reporting mean postoperative pain score (assessed EHS QoL scale) equal 2 (range: 0–4), work resumption week average. This which easy perform reproducible, can reduce times minimize complications related preparation peritoneal pocket.