The experience with a modified technique for laparoscopic ventral hernia repair.
In this article, we describe a modified technique for laparoscopic ventral hernia repair that is easy to perform and teach. The three-keyhole process comprises two major steps: laparoscopic appreciation of the outlet dimension of the hernia and pin-tucking an appropriately sized polytetrafluoroethylene patch after the smooth face has been oriented toward the viscera. We report our experience of 231 patients who underwent the procedure electively between January 1997 and December 2001 with satisfactory results. We suggest that this method be used for all hernia defect-sized elective incisional hernias.
Mizrahi
Solly
S
Department of Surgery "A," Soroka Medical Center, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel. smizrahi@bgumail.bgu.ac.il
Lantsberg
Leonid
L
Kirshtein
Boris
B
Bayme
Michael
M
Avinoah
Eliezer
E
D020878:Device Removal; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000601:surgery; D007431:Intraoperative Complications / Q000209:etiology / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome