Hernia Excellence: Laparoscopic IPOM Plus Repair for Strangulated Incisional Hernias



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Laparoscopic IPOM Plus (Intraperitoneal Onlay Mesh with defect closure) has emerged as an advanced, reliable, and tension-free technique for managing complex incisional hernias, especially in emergency conditions such as strangulation. At World Laparoscopy Hospital, this procedure is performed with precision, efficiency, and adherence to international surgical standards, ensuring optimal outcomes even in high-risk cases. A strangulated incisional hernia presents with bowel obstruction, severe pain, tissue ischemia, and potential necrosis, demanding immediate surgical intervention. The team at World Laparoscopy Hospital begins with a thorough laparoscopic assessment of bowel viability and adhesiolysis. Strangulated contents are carefully reduced under magnified laparoscopic vision, minimizing trauma to compromised tissues. In the IPOM Plus approach, the hernia defect is first closed using intracorporeal sutures, restoring the natural strength of the abdominal wall. This step significantly reduces seroma, recurrence, and mesh bulging. A dual-layer composite mesh is then placed intraperitoneally with wide overlap and securely fixed using atraumatic tackers or transfascial sutures. The minimally invasive technique ensures smaller incisions, reduced postoperative pain, faster recovery, and fewer wound complications – all critical advantages in emergency hernia repair. World Laparoscopy Hospital’s expertise in handling complex surgical emergencies, combined with advanced laparoscopic infrastructure, high-definition imaging, and experienced faculty, makes the management of strangulated incisional hernia safer and more effective. With IPOM Plus, patients not only receive a life-saving emergency procedure but also benefit from long-term durability and a quick return to normal activity.