gms | German Medical Science

131. Kongress der Deutschen Gesellschaft für Chirurgie

Deutsche Gesellschaft für Chirurgie

25.03. - 28.03.2014, Berlin

Less is more – advantages of single port IPOM procedures

Meeting Abstract

Suche in Medline nach

  • Walter Brunner - Kantonsspital St. Gallen / Rorschach, Chirurgie Spital Rorschach, Rorschach
  • Stephan Bischofberger - Kantonsspital St. Gallen / Rorschach, Chirurgie Spital Rorschach, Rorschach
  • Nabil Kalak - Kantonsspital St. Gallen / Rorschach, Chirurgie Spital Rorschach, Rorschach

Deutsche Gesellschaft für Chirurgie. 131. Kongress der Deutschen Gesellschaft für Chirurgie. Berlin, 25.-28.03.2014. Düsseldorf: German Medical Science GMS Publishing House; 2014. Doc14dgch012

doi: 10.3205/14dgch012, urn:nbn:de:0183-14dgch0122

Veröffentlicht: 21. März 2014

© 2014 Brunner et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen ( Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.



Introduction: Laparoscopic repair for incisional or primary ventral hernia has become an increasingly used approach. Incisional hernias especially after open but also laparoscopic surgery are often complicated by adhesions. Applying penumoperitoneum and insertion of trocars can be difficult and afflicted with the risk of bowel injury. Single port surgery was introduced for several laparoscopic procedures as for IPOM. The aim of this paper is to show the benefits of a single port approach.

Material and methods: In videos of several cases open approach, introduction and advantages of single port technique in IPOM procedures is shown.

Results: Single Port surgery offers an open approach with the advantage of primarily open adhesiolysis before introduction of the port system and then immediate camera and two to three instruments available. Adhesiolysis and introduction of even larger meshes can be obtained more easily. Close and hampering distance of trocars to the ribs and bone are avoided. The size of the first incision especially in patients with higher BMI is comparable. The only fascia defect can be covered by the mesh itself and closure is easier.

Conclusion: Single Port approach to incisional and primary ventral hernia repair has some advantages to conventional laparoscopy and is safe and feasible.