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Laparoscopic incisional hernia repair

A new mesh fixation method without stapling

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Abstract

Background

Recent advances in laparoscopic surgery have made various abdominal surgeries possible. To avoid wound infection, mesh repair of abdominal incisional hernias is performed laparoscopically. Here we present a new procedure to fix mesh to the abdominal wall.

Surgical technique

Four anchoring sutures are made using a suture-grasping device; the additional transabdominal sutures are then made with a modified double-needle device. Additional circumferential fixation with tacks is not necessary.

Conclusions

This new mesh fixation method involves simple suturing techniques and is less time consuming than the conventional procedure.

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Correspondence to M. Kobayashi.

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Kobayashi, M., Ichikawa, K., Okamoto, K. et al. Laparoscopic incisional hernia repair. Surg Endosc 20, 1621–1625 (2006). https://doi.org/10.1007/s00464-005-0585-8

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  • DOI: https://doi.org/10.1007/s00464-005-0585-8

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