This video demonstrate Laparoscopic umbilical hernia repair has largely replaced open method. The purpose of this video is to demonstrate the laparoscopic umbilical hernia repair using two port with intraabdominal VIPRO II mesh fixation with transabdominal absorbable suture technique and demonstrate that it is feasible, efficient, and safe. Methods.

Umbilical hernia is a common surgical condition in which abdominal contents protrude through a weakness in the umbilical region of the abdominal wall. With advances in minimally invasive surgery, laparoscopic repair techniques have become the preferred choice due to reduced pain, faster recovery, and improved cosmetic outcomes. One of the most advanced methods is Intraperitoneal Onlay Mesh (IPOM) repair using VIPRO II mesh, which is widely demonstrated and practiced at the World Laparoscopy Hospital (WLH), Gurugram.\

The IPOM technique involves placing a specially designed surgical mesh inside the peritoneal cavity to reinforce the weakened abdominal wall and prevent recurrence. In modern laparoscopic umbilical hernia repair, surgeons often use a two-port minimally invasive approach, where the hernia defect is closed and the mesh is fixed to the abdominal wall using transabdominal sutures or fixation devices. This technique has been shown to be feasible, efficient, and safe, offering strong reinforcement of the defect with minimal surgical trauma.

VIPRO II mesh is a technologically advanced mesh developed for intraperitoneal placement. It is made from biocompatible materials and has a three-dimensional porous structure that allows excellent tissue integration and long-term strength. The mesh is flexible and conforms well to abdominal contours, which ensures uniform distribution of forces across the repair site. Additionally, some components of the mesh are bioresorbable, allowing gradual absorption while maintaining durable structural support. The design also helps reduce adhesion formation and postoperative complications such as bowel obstruction.

At World Laparoscopy Hospital, the IPOM repair using VIPRO II mesh is performed following standardized laparoscopic surgical principles. After establishing pneumoperitoneum and inserting ports, the hernia contents are reduced, and the defect is closed using sutures. The VIPRO II mesh is then placed intraperitoneally with adequate overlap and fixed securely to the abdominal wall. This method ensures stable repair and reduces recurrence risk. Laparoscopic mesh repair has largely replaced open surgery because it allows smaller incisions, shorter hospital stay, and quicker return to normal activities.

Clinical evidence supports the effectiveness of IPOM-based repairs. Studies on laparoscopic IPOM techniques show low complication rates, minimal postoperative pain, and low recurrence rates when proper surgical technique is followed. In one study of ventral hernia repairs, recurrence was reported in only about 2.4% of patients during follow-up, with acceptable complication rates such as seroma or infection.

The major advantages of IPOM repair using VIPRO II mesh include minimal invasiveness, strong and durable repair, reduced postoperative pain, shorter hospital stay, faster recovery, and better cosmetic results. However, as with any surgical procedure, careful patient selection and proper surgical technique are essential to minimize complications such as seroma formation, infection, or mesh-related issues.

In conclusion, IPOM umbilical hernia repair using VIPRO II mesh represents a modern, effective, and safe approach to hernia management. At World Laparoscopy Hospital, this technique reflects the institution’s commitment to advanced laparoscopic training and patient-centered surgical care. With its combination of innovative mesh technology and minimally invasive surgical expertise, IPOM repair with VIPRO II mesh continues to improve outcomes and quality of life for patients undergoing umbilical hernia surgery.