Contemporary perspectives on intraperitoneal Onlay mesh versus extraperitoneal repair in ventral hernia repair

doi:10.16139/j.1007-9610.2026.01.04

Abstract

Abstract:

Ventral hernias are most commonly of primary ventral hernia and incisional hernia. Over the past two decades, significant advancements have been made in their surgical management. With the development of minimally invasive techniques and mesh materials, intraperitoneal Onlay mesh(IPOM) repair has emerged and been widely adopted. However, due to the continuous emergence of its specific complications, academic skepticism regarding this approach has arisen. Consequently, open Sublay repair and laparoscopic extraperitoneal repair have regained attention. This article systematically compared these techniques in terms of technical evolution, clinical efficacy, and complication profiles, objectively analyzing their respective advantages and limitations. It provided theoretical foundations and practical guidance for surgeons in selecting repair strategies, and promoted the standardization and individualized treatment concepts in clinical practice.

Key words: Herniorrhaph, Extraperitoneal repair, Intraperitoneal Onlay mesh (IPOM), Laparoscopy, Robot

CLC Number:

HUANG Bohan, CAO Zhen, LIU Ziwen. Contemporary perspectives on intraperitoneal Onlay mesh versus extraperitoneal repair in ventral hernia repair[J]. Journal of Surgery Concepts & Practice, 2026, 31(01): 17-22.

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