J Li1, X Shao2, T Cheng2. 1. Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, 210009, China. lijunshenghd@126.com. 2. Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing, 210009, China.
Abstract
BACKGROUND: The use of the self-gripping mesh (Progrip™) during laparoscopic inguinal hernia has been proved to be effective and eliminates the need of additional fixation. However, the deployment of the self-gripping mesh is challenging due to its adhesive property. The purpose of this study was to introduce and describe an easy self-gripping mesh deployment method in laparoscopic inguinal hernia repair. METHODS: The self-gripping mesh was folded bilaterally towards the center of the mesh and placed vertically to align with the inferior epigastric artery, centered on the internal defect, then unfolded in a horizontal-bilateral unfolding method, first laterally, then medially. RESULTS: A total of 63 inguinal hernias were repaired laparoscopicly: 40 patients by TAPP or TEP technique with self-gripping mesh, and there were no perioperative complications. The average time of mesh placement was 186 s (45-250 s). The patients only feel minimal pain (less than VAS 3) the second postoperative morning, and most of the patients were discharged the next day postoperatively; the average postoperative hospital duration was 1 day (1-2 days). CONCLUSION: The present "horizontal-bilateral unfolding" mesh deployment method is a relative easy method to implant the self-gripping mesh during laparoscopic inguinal hernia repair.
BACKGROUND: The use of the self-gripping mesh (Progrip™) during laparoscopic inguinal hernia has been proved to be effective and eliminates the need of additional fixation. However, the deployment of the self-gripping mesh is challenging due to its adhesive property. The purpose of this study was to introduce and describe an easy self-gripping mesh deployment method in laparoscopic inguinal hernia repair. METHODS: The self-gripping mesh was folded bilaterally towards the center of the mesh and placed vertically to align with the inferior epigastric artery, centered on the internal defect, then unfolded in a horizontal-bilateral unfolding method, first laterally, then medially. RESULTS: A total of 63 inguinal hernias were repaired laparoscopicly: 40 patients by TAPP or TEP technique with self-gripping mesh, and there were no perioperative complications. The average time of mesh placement was 186 s (45-250 s). The patients only feel minimal pain (less than VAS 3) the second postoperative morning, and most of the patients were discharged the next day postoperatively; the average postoperative hospital duration was 1 day (1-2 days). CONCLUSION: The present "horizontal-bilateral unfolding" mesh deployment method is a relative easy method to implant the self-gripping mesh during laparoscopic inguinal hernia repair.
Authors: N Katkhouda; E Mavor; M H Friedlander; R J Mason; M Kiyabu; S W Grant; K Achanta; E L Kirkman; K Narayanan; R Essani Journal: Ann Surg Date: 2001-01 Impact factor: 12.969
Authors: A Kingsnorth; M Gingell-Littlejohn; S Nienhuijs; S Schüle; P Appel; P Ziprin; A Eklund; M Miserez; S Smeds Journal: Hernia Date: 2012-03-28 Impact factor: 4.739
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