Prophylactic closure of trocar orifices with an intraperitoneal mesh (ventralex) in laparoscopic bariatric surgery.
Laparoscopic surgery reduces, but not eliminates, the rate of incisional hernia. It is accepted that large trocar orifices should be sutured, in order to prevent future herniation. In morbidly obese patients, the closure of the anterior fascia is a very difficult job, and it does not prevent from preperitoneal herniation. Ventralex composite mesh is a very easy-to-place device, which closes satisfactorily both the peritoneal opening and the subcutaneous trocar pathway. We recommend its use for large diameter orifices and Hasson orifices in bariatric patients.
Hospital Clínico San Carlos, Madrid, Spain. asanchezp.hcsc@salud.madrid.org
Andrés
A
Sánchez-Pernaute
Elia
E
Pérez-Aguirre
Alejandra
A
García Botella
Lorena
L
Rodríguez
Esteban Martín
EM
Antona
Juan
J
Cabeza
Domingo Jiménez
DJ
Valladolid
Miguel Angel
MA
Rubio
Isabel
I
Delgado
Antonio
A
Torres
D050110:Bariatric Surgery; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D010535:Laparoscopy; D011677:Punctures; D013526:Surgical Mesh
D015718:Fibrin Tissue Adhesive