The saline ballooning method for peritoneal dissection during laparoscopic herniorrhaphy.
To improve the safety and speed of the peritoneal dissection, we developed a saline ballooning method in which a dull needle is inserted lateral to the inferior epigastric vessels under direct laparoscopic visualization to a tissue plane just superficial to the peritoneum. Then, saline solution is injected. As a result, the peritoneum is easily separated from the spermatic cord and inferior epigastric vessels. Furthermore, bleeding is minimized during dissection of the peritoneum.
Oka
M
M
Department of Surgery II, Yamaguchi University School of Medicine, Japan.
Hiwaki
K
K
Takao
K
K
Iizuka
N
N
Yamamoto
K
K
Suzuki
T
T
D016063:Blood Loss, Surgical / Q000517:prevention & control*; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D010537:Peritoneum / Q000601:surgery*; D012965:Sodium Chloride / Q000008:administration & dosage*
D012965:Sodium Chloride