JOURNAL ARTICLE

Mesh expansion and fixation at the recto-rectus plane through multiple stabs by using two tip hole needles in midline hernias repair. A prospective study

Ahmed E Lasheen
International Journal of Surgery 2008, 6 (5): 367-70
18708307

OBJECTIVE: Midline hernias are a common surgical problem and numerous procedures of repair have been described, but there is no consensus about which type of these procedures are the best. Stabbing technique for midline hernias repair is a procedure collecting the advantages of laparoscopic and traditional open techniques, and avoids the complications of both of them.

METHODS: In the present study, 60 patients with midline hernias were subjected to retro-rectus prosthetic mesh repair using stabbing method and by helping special fork which has two tip hole needles, from February 2004 through March 2006 at General Surgery Department, Faculty of Medicine, Zagazig University, Egypt. Small laparotomy incision was done over hernial sac, the contents were then released and reduced into the peritoneal cavity without much subcutaneous dissection. The suitable sheet of polypropylene mesh to cover the hernial defect and any weak area of the anterior abdominal sheath all around by about 5 cm was prepared and fixed at retro-rectus plane through multiple small stabs incisions in skin of the abdominal wall by using a special fork. The mean period of follow up was 36 months.

RESULTS: The postoperative convalescence was uneventful, and no recurrence has been recorded.

CONCLUSION: The stabbing technique for mesh fixation at retro-rectus plane offers a viable option for midline hernias repair without special complications.

Full Text Links

Find Full Text Links for this Article

Discussion

You are not logged in. Sign Up or Log In to join the discussion.

Related Papers

Remove bar
Read by QxMD icon Read
18708307
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"