Laparoscopic intraperitoneal onlay mesh repair of incisional hernia
Loading...
Date
Authors
Tsimoyiannis, E. C.
Tassis, A.
Glantzounis, G.
Jabarin, M.
Siakas, P.
Tzourou, H.
Journal Title
Journal ISSN
Volume Title
Publisher
Abstract
Type
Type of the conference item
Journal type
peer-reviewed
Educational material type
Conference Name
Journal name
Surg Laparosc Endosc
Book name
Book series
Book edition
Alternative title / Subtitle
Description
Improvements in laparoscopic techniques and equipment have engendered many new intraabdominal procedures. Laparoscopic hernioplasty was used in 11 patients with 12 incisional abdominal hernias. All repairs were made with an intraperitoneal onlay patch of expanded polytef Gore-Tex DualMesh Biomaterial. The patch was secured by whole-thickness sutures, tied subcutaneously through stab holes, and staples between the sutures to cover the hernia defect without excision of the hernia sac. There were three postoperative complications: one seroma, one hematoma, and one infection. These complications successfully healed without reoperation. No recurrence was observed during a follow-up of 8-21 months (average 15 months). It is concluded that laparoscopic incisional hernioplasty using the new Gore-Tex DualMesh Biomaterial, which is securely sutured and stapled on the abdominal wall, is a promising minimally invasive procedure. Continued follow-up is necessary to determine the long-term results.
Description
Keywords
Adult, Aged, Aged, 80 and over, Biocompatible Materials, Female, Hernia, Ventral/*surgery, Humans, Laparoscopy/*methods, Male, Middle Aged, Polytetrafluoroethylene, *Surgical Mesh, Surgical Stapling, Suture Techniques
Subject classification
Citation
Link
http://www.ncbi.nlm.nih.gov/pubmed/9799145
Language
en
Publishing department/division
Advisor name
Examining committee
General Description / Additional Comments
Institution and School/Department of submitter
Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής