Abstract
Prosthetic mesh rolled up and fixed with stitches like a slim cigarette (“slim-mesh”) for laparoscopic ventral hernia (VH) repair is an new technique which allows an easy intraperitoneally introduction, distension and circumferential fixation of a prosthetic mesh without transabdominal fixation sutures even for meshes larger than 16 cm up to 30 cm for the “slim-mesh” repair of wide ventral hernias. We report the technique of laparoscopic repair of VH with “slim-mesh”. This technique enables an easy intra-peritoneally introduction of the mesh through the trocar because it reduces consistently its size, it allows a rapid intra-abdominal handling of the mesh and a fast and easy fixation for VH repair. The average time of surgery with “slim-mesh” for treatment of all 28 VH was 97 min ranging from 57 to 160 min. The average time for the repair of the 24 VH smaller than 10 cm was 91 and 135 min for the four VH larger than 10–22 cm. This new surgical technique leads to a reduction of surgical risks avoiding the use of transfascial sutures with the associated complications. This new surgical procedure in our experience is fast, safe, simple and also easily reproducible by surgeons in laparoscopic training. This technique may be used in wide VH (larger than 10–22 cm) that generally require open surgery.
References
Sajid MS, Bokhari SA, Mallick AS, Cheek E, Baig MK (2009) Laparoscopic versus open repair of incisional/ventral hernia: a meta-analysis. Am J Surg 197:64–72
Alexander AM, Scott DJ (2013) Laparoscopic ventral hernia repair. Surg Clin N Am 93:1091–1110
Turner PL, Park AE (2008) Laparoscopic repair of ventral incional hernias: pros and cons. Surg Clin N Am 88:85–100
Ceccarelli G, Casciola L, Spaziani A, Bartoli A, Stefanoni M, Di Zitti L, Valeri R, Bellochi R, Biancafarina A, Codacci Pisanelli M (2007) Riparazione laparoscopica dei laparoceli e delle ernie ombelicali. Nostra esperienza. G Chir 28(11–12):451–456
Cobb WS, Kercher KW, Heniford BT (2005) Laparoscopic repair of incisional hernias. Surg Clin N Am 85:91–103
Abhishek V, Mallikarjuna MN, Shivaswamy BS (2012) Laparoscopic umbilical hernia repair: technique paper. ISRN Minim Invasive Surg. doi:10.5402/2012/906405
Bedi APS, Bhatti T, Amin A, Zuberi J (2007) Laparoscopic incisional and ventral hernia repair. J Minim Access Surg 3(3):83–90
Chowbey PK, Shama A, Mehrota M, Khullar R, Soni V, Baijal M (2006) Laparoscopic repair of ventral/incisional hernias. J Minim Access Surg 2(3):192–198
Rosin D (2014) Prevention of incisional hernia in midline laparotomy with onlay mesh: a randomized clinical trial. World J Surg 38:2231–2232
Zhang Y, Zhou H, Chai Y, Cao C, Jin K, Hu Z (2014) Laparoscopic versus open incisional and ventral hernia repair a systematic review and meta-analysis. World J Surg 38:2233–2240
Acknowledgments
The authors thank Miss. Carla Brighenti and Miss. Michela Seveso for their collaboration in photo and pictures assembling.
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All procedures performed in the study involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Canton, S.A., Merigliano, S. & Pasquali, C. Prosthetic mesh “slim-cigarette like” for laparoscopic repair of ventral hernias: a new technique without transabdominal fixation sutures. Updates Surg 68, 199–203 (2016). https://doi.org/10.1007/s13304-016-0348-1
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DOI: https://doi.org/10.1007/s13304-016-0348-1