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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/6367

Title: Evaluation of the mesh fixation technique in laparoscopic incisional hernioplasty
Authors: Moreno-Egea, A.
Torralba-Martínez, J. A.
Cuenca, G. M.
Baena, E. G.
la Calle, M. C.
Albasini, J. L. A.
Keywords: Incisional hernia, laparoscopy, mesh fixation
Issue Date: 31-Dec-2005
Publisher: Medknow Publications on behalf of Association of Surgeons of India
Citation: Indian Journal of Surgery (ISSN: 0972-2068) Vol 67 Num 6
Abstract: The laparoscopic repair of incisional hernias still has controversial aspects, among which is the technique for mesh fixation to the posterior abdominal wall. Whereas some authors advocate single fixation with mechanical suture, others recommend a combined fixation of transmural sutures and staples. Case history: We report the case of a recurrent incisional hernia, which was treated via the laparoscopic approach and found to be caused by a failure in mesh fixation. The re-operation was completed via laparoscopy and 12 months after surgery she remains asymptomatic with no apparent recurrence. Conclusion: (1) ′Ideal mechanical fixation′ does not yet exist and must always be tested before the operation can be considered completed and (2) folds or creases in double-layer meshes must be avoided as they seem to favour the formation of visceral adhesions.
URI: http://hdl.handle.net/1807/6367
Other Identifiers: http://www.bioline.org.br/abstract?id=is05100
Rights: Copyright 2005 Indian Journal of Surgery.
Appears in Collections:Bioline International Legacy Collection

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