Bridging Versus Closing the Defect During MIS Ventral Hernia Repair: Pros and Cons

  • Morris E. FranklinJr
  • Miguel A. Hernández
  • Philip Mason Hamby


The effective repair of ventral and incisional hernias is a challenging and dynamic field that continues to advance with research and innovation. Primary suture repair of ventral hernias has now largely been abandoned due to high recurrence rates. Prosthetic mesh placement is now the standard of care for all but the smallest ventral hernias. Mesh placement has been described above, below, and within each layer of the abdomen. Intraperitoneal onlay mesh (IPOM) technique places a mesh within the peritoneal cavity and below the peritoneum. Once implanted, the mesh forms an inflammatory reaction with the peritoneum, creating a durable and tensile prosthesis. Literature has shown IPOM to be an efficacious repair with reduced complications. Here we discuss the origins of the IPOM as well our experience and technique using the IPOM repair.


Bridging Closing MIS ventral hernia repair Intraperitoneal onlay mesh technique IPOM Laparoscopic ventral and incisional hernia repair 


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2019

Authors and Affiliations

  • Morris E. FranklinJr
    • 1
  • Miguel A. Hernández
    • 1
  • Philip Mason Hamby
    • 1
  1. 1.Department of Minimally Invasive SurgeryTexas Endosurgery InstituteSan AntonioUSA

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