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Technique for introducing large composite mesh while performing laparoscopic incisional hernioplasty.
J M Himpens1, G M Leman, K R Deloose
1Department of Thoracic, Abdominal and Minimally Invasive Surgery, St Blasius Hospital, 50 Kroonveldlaan, Dendermonde 9200, Belgium. Jacques.Himpens@ping.be
Surgical Endoscopy
|June 4, 2002
Summary
A new technique simplifies laparoscopic incisional hernia repair by allowing safe intraperitoneal introduction of bulky composite mesh. This method protects the mesh and is quick, cheap, and reproducible for surgeons.
Area of Science:
- Minimally Invasive Surgery
- Surgical Innovation
- Hernia Repair
Background:
- Laparoscopic incisional hernia repair is increasingly common.
- Composite mesh aims to reduce adhesion and erosion but is bulky and difficult to introduce.
- Current methods face challenges in safely inserting large mesh sheets through conventional trocars.
Purpose of the Study:
- To present a simple technique for safely introducing large sheets of composite mesh intraperitoneally.
- To overcome the challenges associated with the bulkiness of composite mesh during laparoscopic surgery.
Main Methods:
- A technique involving rolling the composite mesh tightly within a sterile bag.
- Temporary removal of a 10 mm trocar to allow mesh insertion.
- Introduction of the bagged mesh through the existing trocar opening.
Main Results:
- The technique was successfully employed in 12 patients between September 1999 and January 2000.
- Demonstrated safe and straightforward intraperitoneal introduction of composite mesh.
Conclusions:
- The described technique effectively protects the mesh during insertion.
- This method offers a straightforward, quick, inexpensive, and easily reproducible solution for laparoscopic incisional hernia repair using composite mesh.