Laparoscopic repair of abdominal hernias using an ePTFE patch--a modification of a previously described technique
E Phillips1, A N Dardano, A Saxe
1Department of Surgery, Sinai Hospital, Detroit, MI 48235, USA.
Background:
A variety of laparoscopic procedures for the repair of abdominal wall hernias have been described. The repair described in this paper represents a modification and improvement of one approach.
Methods:
Our technique employs an Origin Tacker (Origin Medsystems, Inc, Menlo Park, CA) and a Gore suture passer (W. L. Gore, Flagstaff, AZ) to secure an expanded polytetrafluoroethylene (ePTFE) patch, (DualMesh, W. L. Gore, Flagstaff, AZ) to the anterior abdominal wall.
Results:
This approach simplifies the repair by minimizing the number of steps required to secure the ePTFE graft to the anterior abdominal.
Conclusions:
We have found this to be a safe and reliable technique that may be used in the laparoscopic repair of ventral, umbilical, or inguinal hernias.
