This video demonstrate IPOM Inguinal Hernia by Dr. R. K. Mishra at World Laparoscopy Hospital. Inguinal Hernia Laparoscopic Surgery is commonly also called as Minimal Invasive Surgery is method of choice and IPOM technique is increasing.

Intraperitoneal Onlay Mesh (IPOM) repair is an advanced laparoscopic technique used for the management of inguinal hernia in selected cases. With the rapid evolution of minimally invasive surgery, IPOM has emerged as an alternative approach when conventional laparoscopic methods such as TEP (Total Extraperitoneal) and TAPP (Transabdominal Preperitoneal) are not feasible. At World Laparoscopy Hospital, Dr. R. K. Mishra has played an important role in teaching and demonstrating advanced laparoscopic hernia repair techniques, including IPOM, to surgeons from across the world.

IPOM inguinal hernia repair involves placing a composite mesh inside the abdominal cavity directly over the hernia defect. The procedure is performed laparoscopically using small ports inserted through the abdominal wall. After reducing the hernia contents and closing the hernia sac if required, a specially designed composite mesh is placed over the defect and fixed using tackers, glue, or sutures. This method avoids extensive dissection of the inguinal canal and reduces operative time in selected cases.

The IPOM technique is considered technically simple and reproducible, especially when modern composite meshes are used. Studies show that patients undergoing IPOM repair often experience low postoperative pain, early mobilization, and short hospital stay. Some clinical experiences have shown patients being discharged the next day and resuming normal work within about one week.

However, like any surgical technique, IPOM has both advantages and limitations. The main advantages include shorter operative time, minimal dissection, and reduced risk of injury to spermatic cord structures. On the other hand, concerns such as adhesion of bowel to mesh and possible recurrence need careful patient selection and proper mesh choice. Modern coated meshes have significantly reduced these complications, improving safety and outcomes.

Dr. R. K. Mishra, founder of World Laparoscopy Hospital, is a pioneer in minimal access surgery and has trained thousands of surgeons worldwide in laparoscopic and robotic procedures. His contribution to laparoscopic education and surgical innovation has helped spread advanced techniques like IPOM to many countries.

At World Laparoscopy Hospital, IPOM inguinal hernia repair is not only performed clinically but is also taught as part of structured laparoscopic training programs. Through live surgeries, surgical videos, and hands-on training, surgeons gain practical exposure to this technique. Educational surgical demonstrations by Dr. Mishra have helped increase awareness of IPOM as a feasible and effective option in selected hernia patients.

In conclusion, IPOM inguinal hernia repair represents an important advancement in minimally invasive hernia surgery. Under expert guidance such as that provided by Dr. R. K. Mishra at World Laparoscopy Hospital, surgeons can learn safe application of this technique. With proper patient selection, appropriate mesh technology, and skilled surgical execution, IPOM continues to be a valuable option in modern hernia management.