Hernia Research Today is a free monthly online journal that collates and summarizes the latest research about Hernia, including details on hiatal, inguinal, umbilical, abdominal, treatment.

Laparoscopic incisional hernia repair. A new mesh fixation method without stapling.

Kobayashi M, Ichikawa K, Okamoto K, Namikawa T, Okabayashi T, Araki K

Department of Tumor Surgery, Kochi Medical School, Oko-cho, Nankoku, 783-8505, Japan.

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.

Published 21 September 2006 in Surg Endosc, 20(10): 1621-5.
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