World Journal of Laparoscopic Surgery

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VOLUME 9 , ISSUE 2 ( May-August, 2016 ) > List of Articles

RESEARCH ARTICLE

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.

DOI: 10.5005/jp-journals-10033-1273

Published Online: 01-08-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

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.


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