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4/2010
vol. 5
abstract:
Case report
Adhesive complications in a patient after ventral hernia IPOM repair – a case report for Videoforum
Piotr Gierej, Marcin Kotulski, Sebastian Piotrowicz, Tadeusz M. Wróblewski
Videosurgery and other miniinvasive techniques 2010; 5 (4): 166-170
Online publish date: 2010/12/20
We present two similar case reports of patients who, due to formation of adhesions, were reoperated on following IPOM procedures. The first case is a 21-year-old woman after primary operation: WTP fundoplication and IPOM ventral (linea alba) hernia repair. Chronic pain was the reason for two second-look laparoscopies. There were massive adhesions between the Dynamesh® and the greater omentum as well as the left lobe of the liver. The second case was a male patient after the same primary procedure, reoperated on because of pain and recurrent subileus caused by adhesions between the Dynamesh® and the stomach. Although laparoscopic IPOM hernia repairs are nowadays becoming very popular, one should remember their disadvantages and limitations: anti-adhesive properties of IPOM meshes can still be insufficient in some cases in the long term; further studies and technical progress are needed.
keywords:
IPOM, adhesion, complication
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