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Application of Straight-needle, Three-tailed, Knot-free, Peritoneal Sutures in Laparoscopic Transabdominal Preperitoneal Hernia Repair
Published on: November 12, 2021
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TITANIUM CLIPS FOR CLOSURE OF THE PERITONEAL FLAP DURING LAPAROSCOPIC INGUINAL HERNIA REPAIR
Eduardo Neubarth Trindade1, Eduardo Ferreira Martins1, Manoel Roberto Maciel Trindade1
1Porto Alegre University Hospital, Digestive System Surgical Unit - Porto Alegre (RS), Brazil.
Summary
Closing the peritoneal flap during laparoscopic inguinal hernia repair with titanium clips is a fast, inexpensive, and effective technique. This method demonstrates safety and efficacy, with no major complications reported.
Area of Science:
- Minimally Invasive Surgery
- Surgical Techniques
- Hernia Repair
Background:
- Laparoscopic inguinal hernia repair involves accessing the preperitoneal space.
- Peritoneal flap closure is crucial to prevent adhesions post-surgery.
- Various methods exist for peritoneal closure.
Purpose of the Study:
- To propose a simple method for peritoneal flap closure using titanium clips.
- To evaluate the advantages and disadvantages of this technique.
Main Methods:
- Description of a technique for closing the peritoneal flap with titanium clips.
- Application of the technique over a 15-year period.
Main Results:
- Titanium clips were used to close the approximated edges of the peritoneal flap.
- The procedure involved reducing pneumoperitoneum to 7 mmHg.
- The technique was applied along the entire peritoneal incision.
Conclusions:
- Titanium clip closure is a fast, inexpensive, and effective method.
- The technique is safe for closing peritoneal defects in videolaparoscopic inguinal hernioplasties.
- No major or recurrent complications were reported.
