title: Laparoscopic repair of an abdominal hernia using an expanded polytetrafluoroethylene patch secured by a four-corner tacking technique.
abstract: An improved technique for performing laparoscopic repair of an abdominal hernia is described herein. To ensure a successful repair, it is most important that adequate tension of the expanded-polytetrafluoroethylene (e-PTFE) patch be achieved, and that the defect be completely covered and securely stapled. Our technique involves tacking the four corners of the patch to the abdominal wall with a 2-0 nylon suture using a straight needle, then stapling it to the anterior abdominal wall over the defect with a laparoscopic stapler. We believe that this technique is a safe and reliable method which will prove useful for laparoscopic surgery.
authors.affiliation: Second Department of Surgery, Dokkyo University School of Medicine, Tochigi, Japan.
authors.forename: N
authors.initials: N
authors.lastname: Tagaya
authors.forename: H
authors.initials: H
authors.lastname: Mikami
authors.forename: H
authors.initials: H
authors.lastname: Kogure
authors.forename: O
authors.initials: O
authors.lastname: Ohyama
mesh_terms: D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D011138:Polytetrafluoroethylene; D019736:Prostheses and Implants
chemical_list: D011138:Polytetrafluoroethylene