Background and Aim: The
incidence of incisional hernias has been reported to be around 15%. In the
present scenario, a wide array of surgical procedures are available for their
better management. In this study, we intend to share our experience with one novel
technique, “Hybrid IPOM (Intraperitoneal onlay meshplasty)” as a management
option for a selected cohort of patients. Methods: This prospective
study was undertaken during January 2019 to July 2023 at King Abdullah medical
city, Makkah. A total of 51 cases were selected for Hybrid IPOM repair as per
inclusion criteria; medium sized (4 - 10 cm) hernia defects; uncomplicated hernias; age more than 18 years.
The follow-up period of the patients varied from 6 months to 4 years. The
operation commenced with open hernia dissection, mesh deployment into abdomen,
defect closure and then conversion to laparoscopy for the posterior mesh
placement. Results:A total of 51 cases were
repaired successfully with this technique. 48 out of 51 cases were incisional
hernias secondary to some primary procedure done either for hernias itself or
some other intra-abdominal pathology. The three cases were primary hernias
falling in medium to large category with unaesthetic overlying skin. The age
range was 19 to 72 years. The mean (range) operative time was 135 (90-240) min, and the average blood loss was 70ml. The mean (range)
hospital stay was 3 (2-11) days. All patients
returned to routine work within 2 - 3 weeks of surgery. The median follow-up
was 15 (6 - 48) months.Of the
51 cases, 3 patients developed seroma
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