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


METHODS
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.
Kobayashi
M
M
Department of Tumor Surgery, Kochi Medical School, Oko-cho, Nankoku, 783-8505, Japan.
Ichikawa
K
K
Okamoto
K
K
Namikawa
T
T
Okabayashi
T
T
Araki
K
K
D034861:Abdominal Wall / Q000601:surgery; D046449:Hernia, Abdominal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D013526:Surgical Mesh; D013536:Suture Techniques / Q000295:instrumentation