Volume : VIII, Issue : VII, July - 2019

A SIMPLE MESH FIXATION TECHNIQUE FOR LAPAROSCOPIC GROIN HERNIA REPAIR

Sri Vengadesh Gopal, Ashley Solomon

Abstract :

Background: Laparoscopic approach has become a procedure of choice for most of the groin hernia repairs. It has got a steep learning curve in view of few difficult steps involved in the operation. We developed a simple technique to fix the mesh using a single polyglactin stitch. This technique is cost effective and easy to learn. Methods: After creating the preperitoneal space in laparoscopic groin hernia repair, a polypropylene mesh with a polyglactin stitch in the center is placed in the space. The suture thread is pulled out using a suture passer inserted through inguinal region. This helps in spread of the mesh in preperitoneal space and also holds the mesh without migration. A knot is placed in the suture and pushed into the subcutaneous tissue. Results: A series of 66 patients with groin hernia underwent laparoscopic hernia repair using this new mesh fixation technique over a period of 24 months. There was no peroperative complication or early postoperative infection. None of the patients had chronic inguinodynia or hernia recurrence. Conclusion: The new mesh fixation technique is easy to perform and also cost effective. It will also improve the steep learning curve of laparoscopic hernia repair.

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Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

A SIMPLE MESH FIXATION TECHNIQUE FOR LAPAROSCOPIC GROIN HERNIA REPAIR, Sri Vengadesh Gopal, Ashley Solomon INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-7 | July-2019

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