IPOM Hernia Repair
Laparoscopic Intraperitoneal onlay mesh Repair of a postsplenectomy incisional hernia
![](https://efeoglou.gr/wp-content/uploads/2019/06/ipom-symphysiolysi.jpeg)
Case : 57 years old female who underwent splenectomy before 12 years (idiopathic hypersplenism) suffers from a left subcostal incisional hernia.
![](https://efeoglou.gr/wp-content/uploads/2019/06/ipom-ektetameni-symphysiolysi.jpeg)
After extended symphysiolysis the hernia is unveiled
![](https://efeoglou.gr/wp-content/uploads/2019/06/ipom-intraperitoneal-suture.jpg)
an intracorporal knotless suture is used to strengthen the abdominal wall
![](https://efeoglou.gr/wp-content/uploads/2019/06/ipom-transfascial-suture.jpg)
and finaly a hybrid fixation technique which contains transfascial sutures and Tack, is applied
![](https://efeoglou.gr/wp-content/uploads/2019/06/ipom-protack.jpg)
The postoperative course showed a rapidly recovery and unremarkable findings . The Patient was discharged 2 days later in good health condition.