Repairing “Swiss Cheese” Defects: The IPOM-Plus Technique
Incisional hernias often present not as a single hole, but as multiple small defects resembling Swiss cheese, frequently complicated by muscle separation (diastasis). In this video, Dr. Todd Harris demonstrates why simply placing a mesh patch isn’t enough. We utilize the IPOM-Plus technique: first, we use a suture passer to physically close the muscle defects and diastasis, restoring the abdominal wall’s function. Only then do we place the mesh reinforcement (using the precise Echo Positioning System) to prevent recurrence.
