title: Mesh-Airtight-Preperitoneum: a simple method for confirming mesh placement in transabdominal preperitoneal repair of inguinal hernia.
abstract: We devised a method for confirming the position of mesh placed during transabdominal preperitoneal repair (TAPP) of an inguinal hernia. The preperitoneum is sufficiently detached, and the mesh is fixed in place as usual. Before completely closing the peritoneum, pressure is applied from outside the body and inside the abdominal cavity to remove as much air as possible from the detached preperitoneum; the peritoneum is then sutured using a V-Loc(TM) closure device so that it does not constrict. By releasing the pressure all at once, the airtightness of the preperitoneum is maintained, and the position of the mesh can be observed through the translucent peritoneum. This method, called Mesh-Airtight-Preperitoneum (MAPP), could become widely used as a simple technique for confirming mesh position in TAPP. J. Med. Invest. 63: 270-273, August, 2016.
authors.affiliation: Tokushima Red Cross Hospital, Department of Digestive Surgery.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Yuasa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Okitsu
authors.forename: Masakazu
authors.initials: M
authors.lastname: Goto
authors.forename: Yuta
authors.initials: Y
authors.lastname: Matsuo
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Edagawa
authors.forename: Osamu
authors.initials: O
authors.lastname: Mori
authors.forename: Ryotaro
authors.initials: R
authors.lastname: Tani
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Kuramoto
authors.forename: Mayumi
authors.initials: M
authors.lastname: Ikeuchi
authors.forename: Atsushi
authors.initials: A
authors.lastname: Tomibayashi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010537:Peritoneum / Q000601:surgery*; D013526:Surgical Mesh; D013536:Suture Techniques