Nigam’s hybrid intraperitoneal onlay mesh repair of large incisional hernia

Incisional hernia repair is done by laparoscopic and open technique. A mesh is placed inside the abdominal cavity over the hernia defect through laparoscopy, it is called as IPOM (Intraperitoneal Onlay mesh repair). The mesh is fixed with tacks or sutures. The IPOM-plus technique is the repair process where the hernia defect is closed before placing the mesh. Hybrid IPOM is a method of repair where a combination of open and laparoscopic procedures is used. Nigam’s hybrid-IPOM (NH-IPOM) is a new technique combining laparotomy and laparoscopic IPOM in large incisional hernias specially in obese individuals where the redundant abdominal wall of hanging large hernia is excised and wound is closed.