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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References
Franklin ME, Dorman JP, Glass JL, Balli JE, Gonzalez JJ (1998) Laparoscopic ventral and incisional hernia repair. Surg Laparosc Endosc 8: 294–299
Heniford BT, Park A, Ramshaw BJ, Voeller G (2000) Laparoscopic ventral and incisional hernia repair in 407 patients. J Am Coll Surg 190: 645–650
Kanehira E, Omura K, Wakasa R, Kinoshita T, Mori A, Watanabe Y (1998) A technique of percutaneous endoscopic intragastric surgery. Minim Invasive Ther Allied Technol 7: 15–20
Larson GM, Vandertoll DJ (1982) Approaches to repair of ventral hernia and full-thickness losses of the abdominal wall. Surg Clin North Am 64: 335–349
LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 3: 39–41
Lewis RT, Wiegand FM (1989) Natural history of vertical abdominal parietal closure: Prolene versus Dexon. Can J Surg 32: 196–200
Liberman MA, Rosenthal RJ, Phillips EH (2002) Laparoscopic ventral and incisional hernia repair: a simplified method of mesh placement. J Am Coll Surg 194: 93–95
Luijendijk RW, Hop WC, van den Tol MP, de Lange DC, Braaksma MM, Ijzermans JN, Boelhouwer RU, de Vries BC, Salu MK, Wereldsma JC, Bruijninckx CM, Jeekel J (2000) A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med 343: 392–398
Mudge M, Hughes LE (1985) Incisional hernia: a 10-year prospective study of incidence and attitudes. Br J Surg 72: 70–71
Park A, Birch DW, Lovrics P (1998) Laparoscopic and open incisional hernia repair: a comparison study. Surgery 124: 816–822
Park A, Gagner M, Pomp A (1996) Laparoscopic repair of large incisional hernias. Surg Laparosc Endosc 6: 123–128
Ramshaw BJ, Esartia P, Schwab J, Mason EM, Wilson RA, Duncan TD, Miller J, Lucas GW, Promes J (1999) Comparison of laparoscopic and open ventral herniorrhaphy. Am Surg 65: 827–831
Sugerman HJ, Kellum JM, Reines HD, DeMaria EJ, Newsome HH, Lowry JW (1996) Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh. Am J Surg 171: 80–84
Thoman DS, Phillips EH (2002) Current status of laparoscopic ventral hernia repair. Surg Endosc 16: 939–942
Toy FK, Bailey RW, Carey S, Chappuis CW, Gagner M, Josephs LG, Mangiante EC, Park AE, Pomp A, Smoot RT, Uddo JF, Voeller GR (1998) Prospective, multicenter study of laparoscopic ventral hernioplasty. Preliminary results. Surg Endosc 12: 955–959
Ujiki MB, Weinberger J, Varghese TK, Murayama KM, Joehl RJ (2004) One hundred consecutive laparoscopic ventral hernia repairs. Am J Surg 188: 593–597
van’t Riet M, de von van Steenwijk PJ, Kleinrensink GJ, Steyerberg EW, Bonjer HJ (2002) Tensile strength of mesh fixation methods in laparoscopic incisional hernia repair. Surg Endosc 16: 1713–1716
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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