Comparative analysis of the results of treatment of patients with ventral hernias using IPOM and EMILOS techniques

Abstract

The influence of the mesh arrangement method on the results of video endoscopic treatment of ventral hernias remains a debatable issue. The contact of the mesh with adipose tissue during IPOM plasty leads, on the one hand, to the formation of seroma, the development of purulent complications, which can cause relapse, and a high risk of intestinal damage, complications associated with the mesh, and postoperative pain, on the other. The technique of laparoscopic IPOM plastic surgery is also ineffective in diastases, since it does not strengthen the white line of the abdomen. The best place for mesh implantation, according to the world’s leading gerontologists,is the retromuscular space. The EMILOS technique developed by the German surgeon W. Raingold combines the advantages of subway plastic surgery and the laparoscopic IPOM method. The EMILOS operation has mainly less surgical trauma, fewer postoperative complications, low recurrence rate and high economic efficiency.