Percutaneous spiral looped needle for peritoneal closure in laparoscopic transabdominal preperitoneal inguinal hernia repair

Faculty Medicine Year: 2017
Type of Publication: ZU Hosted Pages:
Authors:
Journal: Edorium Journal of Surgery, Edorium Journal Volume:
Keywords : Percutaneous spiral looped needle , peritoneal closure    
Abstract:
Aims: Transabdominal preperitoneal (TAPP) entails the development of peritoneal flaps in order to reduce hernia sac and create a preperitoneal space in which mesh fixed. After mesh fixation at preperitoneal space, the peritoneal defect must be closed well to prevent mesh contact with the abdominal viscera and internal herniation with risk of possible complications. The peritoneal defect was closed by new spiral looped needle percutaneous in this study. Methods: This study included 47 patients suffering from inguinal hernias (27 indirect, 13 direct, 5 bilateral indirect types, 2 recurrent unilateral inguinal hernia after open hernia repair). This patients group subjected to transabdominal preperitoneal laparoscopic inguinal hernia repair from April 2015 through August 2016. The peritoneal defect closure in TAPP was done by spiral looped needle which passing to peritoneal cavity directly through abdominal wall. The outcome for this patients group was followed-up for period ranged from 5–23 months (mean 18 months). Results: The mean ages of patients group was 49 years (ranged from 23–67 years). The peritoneal defect closure time with our method ranged from 5–10 minutes
   
     
 
       

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