• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / A NOVEL , NO COST , SIMPLE PAPER MODEL TECHNIQUE FOR PLACEMENT OF IPOM

A NOVEL , NO COST , SIMPLE PAPER MODEL TECHNIQUE FOR PLACEMENT OF IPOM

Sachin B Jamma, MS, MNAMS, FMAS, DipALS, Balasaheb G Shitole, MS. Ashwini Rural Medical College,Solapur

Objective: Correct placement of the mesh around the defect is always a cause of anxiety in Surgeon’s mind, especially for beginners.  Various methods are described to place IPOM accurately however they come with a cost. Purpose of the study was to find out a simple, no cost method to place IPOM accurately around the defect in ventral hernias especially for countries with limited resources.

Methods and Procedures: Basic principles of IPOM surgery observed in study were the overlap of mesh has to be 5 cm all around the defect , mesh should never touch the bare skin and perfect asepsis. The study was performed on sixteen randomly selected patients posted for IPOM or IPOM plus after thorough clinical examination and investigations. Size of defect was judged earlier however intra operatively size of the defect was measured by using spinal needle technique in all sixteen cases. The defect was marked externally on skin with marker pen. The size of IPOM was selected so as to get an overlap of 5cm all around the defect. Once the size of mesh was decided, after changing the gloves, mesh was delivered from sterile foil to a separate sterile instrument trolley. While changing the gloves the sterile paper glove cover/glove bag was preserved. The mesh edges were drawn on this sterile paper glove cover with marker pen. Just outside the marked edges of mesh, points of transfixation sutures (2 or 4–as per the plan of surgery) were plotted. Then this paper glove cover with markings was placed on anterior abdominal wall after deflating pneumo so that the defect will be in the centre of the sketch with a 5cm overlap. The points of transfixation were now marked on abdominal wall puncturing the points marked on paper with a marker pen so that skin puncture later will be at these points for transfixation sutures. Rest of the surgical procedure was carried out as planned.

Result: With this technique, we observed precise and perfect placement of the mesh in all sixteen cases with an overlap of 5 cm all around the defect. Inraoperative Revision was not needed in any case.

Conclusion: This simple, cheap technique using a paper glove cover will definitely ease Surgeon’s life on table avoiding contact of mesh to skin & achieving a good 5 cm overlap of mesh to the edge of defect.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 94341

Program Number: P592

Presentation Session: Poster Session (Non CME)

Presentation Type: Poster

View this Poster

69

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals