Robotic Technique for Intraperitoneal Onlay Mesh (IPOM)

  • James G. BittnerIV
  • Michael P. Meara
  • Natasha L. Clingempeel


Laparoscopic ventral hernia repair with intraperitoneal mesh remains an accepted and evidence-based technique for ventral/incisional hernia (VIH) repair. The robotic surgical platform has some potential advantages compared to traditional laparoscopic instrumentation for VIH repair including, but not limited to, additional degrees of motion, three-dimensional imaging, a stable operating construct, preferred ergonomics, and relative ease of intracorporeal suturing. This chapter will cover patient selection criteria and operative technique for robotic-assisted VIH repair with intraperitoneal mesh. Specifically, the chapter will detail the equipment and operating room setup, patient positioning, trocar placement, docking, dissection, defect closure, and mesh placement and fixation strategies for robotic-assisted VIH repair with intraperitoneal mesh.


Ventral hernia Incisional hernia Robotic-assisted ventral hernia repair Robotic-assisted incisional hernia Intraperitoneal mesh IPOM 


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2019

Authors and Affiliations

  • James G. BittnerIV
    • 1
  • Michael P. Meara
    • 2
  • Natasha L. Clingempeel
    • 3
  1. 1.Department of SurgerySentara RMH Medical CenterHarrisonburgUSA
  2. 2.Division of General and Gastrointestinal Surgery, Department of SurgeryThe Ohio State University Wexner Medical CenterColumbusUSA
  3. 3.Division of Bariatric and Gastrointestinal Surgery, Department of SurgeryVirginia Commonwealth University Medical CenterRichmondUSA

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