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.
Sánchez-Pernaute
Andrés
A
Hospital Clínico San Carlos, Madrid, Spain. asanchezp.hcsc@salud.madrid.org
Pérez-Aguirre
Elia
E
García Botella
Alejandra
A
Rodríguez
Lorena
L
Antona
Esteban Martín
EM
Cabeza
Juan
J
Valladolid
Domingo Jiménez
DJ
Rubio
Miguel Angel
MA
Delgado
Isabel
I
Torres
Antonio
A
D050110:Bariatric Surgery; D015718:Fibrin Tissue Adhesive / Q000627:therapeutic use; D006801:Humans; D010535:Laparoscopy; D011677:Punctures; D013526:Surgical Mesh
D015718:Fibrin Tissue Adhesive