{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T23:03:00Z","timestamp":1776466980685,"version":"3.51.2"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,3,23]],"date-time":"2018-03-23T00:00:00Z","timestamp":1521763200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Asian J Endoscop Surgery"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>The ideal surgical technique for large incisional hernia repair has not yet been identified. The aim of this study was to evaluate surgical outcomes of standard intraperitoneal onlay mesh (sIPOM) versus fascial defect closure with intraperitoneal onlay mesh (IPOM\u2010Plus) for large incisional hernia repair.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Of 49 patients who underwent laparoscopic incisional hernia repair between November 2005 and December 2016, 26 cases with large incisional hernia (transverse diameter\u2009\u226510\u2009cm) were examined to compare surgical outcomes between sIPOM (<jats:italic>n<\/jats:italic>\u2009=\u200912) and IPOM\u2010Plus (<jats:italic>n<\/jats:italic>\u2009=\u200914). Statistical analysis was performed using the Mann\u2013Whitney <jats:italic>U<\/jats:italic>\u2010test and Fisher's exact test. <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05 was considered to be statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We compared sIPOM with IPOM\u2010Plus for similar hernia types during median follow\u2010up periods of 53 and 21\u2009months, respectively. The operation time was 150\u2009min for sIPOM and 148\u2009min for IPOM\u2010Plus (<jats:italic>P<\/jats:italic>\u2009=\u20090.6220). Early postoperative complications including seroma formation were observed in four sIPOM patients (33%) and three IPOM\u2010Plus patients (21%) (<jats:italic>P<\/jats:italic>\u2009=\u20090.6652). Significantly more mesh bulged with sIPOM than with IPOM\u2010Plus (50% vs 0%; <jats:italic>P<\/jats:italic>\u2009=\u20090.0082). Chronic pain lasting 3\u2009months after the operation was found in two cases of IPOM\u2010Plus (14%), but this was not statistically significant. Postoperative hospital stay was longer for sIPOM patients than for IPOM\u2010Plus patients. Only one recurrence was observed in the sIPOM group (8%), but this was not statistically significant.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>For large incisional hernia repair, IPOM\u2010Plus seems to be more effective than sIPOM in terms of reducing mesh bulging.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ases.12471","type":"journal-article","created":{"date-parts":[[2018,3,24]],"date-time":"2018-03-24T00:41:54Z","timestamp":1521852114000},"page":"378-384","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Is fascial defect closure with intraperitoneal onlay mesh superior to standard intraperitoneal onlay mesh for laparoscopic repair of large incisional hernia?"],"prefix":"10.1111","volume":"11","author":[{"given":"Katsuhito","family":"Suwa","sequence":"first","affiliation":[{"name":"Department of Surgery The Jikei University Daisan Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomoyoshi","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery The Jikei University Daisan Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katsuhiko","family":"Yanaga","sequence":"additional","affiliation":[{"name":"Department of Surgery The Jikei University  Tokyo 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