title: Laparoscopic incisional hernia repair. A new mesh fixation method without stapling.
abstract: 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.
authors.affiliation: Department of Tumor Surgery, Kochi Medical School, Oko-cho, Nankoku, 783-8505, Japan.
authors.forename: M
authors.initials: M
authors.lastname: Kobayashi
authors.forename: K
authors.initials: K
authors.lastname: Ichikawa
authors.forename: K
authors.initials: K
authors.lastname: Okamoto
authors.forename: T
authors.initials: T
authors.lastname: Namikawa
authors.forename: T
authors.initials: T
authors.lastname: Okabayashi
authors.forename: K
authors.initials: K
authors.lastname: Araki
mesh_terms: D034861:Abdominal Wall / Q000601:surgery; D046449:Hernia, Abdominal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D013526:Surgical Mesh; D013536:Suture Techniques / Q000295:instrumentation