Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair
Ahmed E Lasheen, AbdelRhman Sarhan, Ayman Salem, Tark Shiref
Citation Information :
Lasheen AE, Sarhan A, Salem A, Shiref T. Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair. World J Lap Surg 2016; 9 (2):58-62.
Transabdominal preperitoneal (TAPP) hernioplasty is a common procedure for groin hernia repair. The peritoneal closure after mesh placement is recommended to avoid mesh exposure to the viscera with the risk of adhesions and bowel incarceration into peritoneal defects. This study offers a novel technique for peritoneal closure by using external looped needle.
Materials and methods
During the period from April 2013 through August 2015, during laparoscopic inguinal hernia repair in 117 patients, the peritoneal closure was achieved by percutaneous transabdominal external looped needle. The needle was passed directly through the abdominal wall to close the peritoneal flaps using Vicryl no. 0. The mean follow-up period was 28 months.
Results
The age of this patients’ group ranged from 20 to 66 years (mean age 47 years). The mean time to put one stitch was 1.8 minutes. No recurrence, pain, intestinal adhesion, obstruction, mesh bulging, or infection was recorded in this patients’ group during the period of follow-up.
Conclusion
Our technique for peritoneal closure during laparoscopic inguinal hernia repair (TAPP) is effective, safe, and easy.
How to cite this article
Lasheen AE, Sarhan AR, Salem A, Shiref T. Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair. World J Lap Surg 2016;9(2):58-62.
Prospective randomized trial of laparoscopic (transabdominal preperitoneal) vs open(mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc 2003 Sep;17(9):1386-1390.
Preperitoneal herniation and bowel obstruction post laparoscopic inguinal hernia repair: case report and review of the literature. Hernia 2008 Oct;12(5):535-537.
Tacks, staples, or suture: method of peritoneal closure in laparoscopic transabdominal preperitoneal inguinal hernia repair effects early quality of life. Surg Endosc 2015 Jul;29(7):1686-1693.
Modified transabdominal external needle for mesh size estimation in laparoscopic hernia repair. Int J Surg 2014 Oct;12(10):1074-1076.
Use of barbed suture for peritoneal closure in transabdominal preperitoneal hernia repair. World J Gastrointest Surg 2012 Jul 27;4(7):177-179.
Small bowel obstruction after TAPP repair caused by a self anchoring barbed suture device for peritoneal closure: case report and review of the literature. Hernia 2015 Jun;19(3):389-394.
Randomized clinical trial of fibrin glue versus tacked fixation in laparoscopic groin hernia repair. Surg Endosc 2013 Aug;27(8):2727-2733.
Use of human fibrin glue (Tissucol) versus staples for mesh fixation in laparoscopic transabdominal preperitoneal herniplasty: a prospective, randomized study. Ann Surg 2007 Feb;245(2):222-231.
Tack hernia: a new entity. JSLS 2003 Oct-Dec;7(4):383-387.
TAPP – Stuttgart technique and result of a large single center series. J Minim Access Surg 2006 Sep;2(3):155-159.
Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3017 patients. Surg Endosc 2001 Sep;15(9):972-975.
Iatrogenic intestinal and mesenteric injuries with small bowel volvulus following use of barbed suture during laparoscopic myomectomy. J Laparoendosc Adv Surg Tech A 2013 Jul;23(7):632-634.
Intestinal obstruction following use of laparoscopic barbed suture: a new complication with new material? Minim Invasive Ther Allied Technol 2012 Sep;21(5):369-371.
The application of the V-Loc closure device for gastrointestinal sutures: a preliminary study. Surg Endosc 2013 Oct;27(10):3830-3834.
New laparoscopic suturing device: initial clinical experience. Urology 1995 Aug;46(2):242-245.
Laparoscopic myomectomy with the EndoStitch 10-mm laparoscopic suturing device. J Am Assoc Gynecol Laparosc 1996 Feb;3(2):299-303.
A new method of peritoneal closure following laparoscopic herniorrhaphy. Surg Today 1998;28(8):866-867.
Small bowel obstruction owing to displaced spiral tack after laparoscopic TAPP inguinal hernia repair. Surg Laparosc Endosc Percutan Tech 2010 Jun;20(3):e132-e135.