• Rajan Bhadrakumar Jagad.
• Department of Surgery, Government Medical College and Civil Hospital, Surat, India. rajanbjagad@yahoo.com
• Surg Laparosc Endosc Percutan Tech. 2008 Jun 1;18(3):277-9.

BackgroundLaparoscopic technique has proven to be a safe and feasible alternative to open mesh repair in the treatment of ventral hernias. It has been seen that the recurrence rate is the same as with open repair but with lesser morbidity. For the repair of ventral hernia with laparoscopy, mesh is placed intraperitoneally. The most common approach for intraperitoneal fixation of the mesh is by using a combination of transfascial sutures and tackers. This paper describes a new technique for intraperitoneal fixation of the mesh using sutures.Surgical TechniqueAdhesions to the previous scar are taken down. Mesh is anchored to the abdominal wall using 4 transfascial sutures at the 4 corners of the mesh. Fixation of the mesh between the transfascial sutures is performed by a new technique using continuous sutures. Fixation of the mesh with tacks is not required.ConclusionsThis is a novel technique for fixation of the mesh to the abdominal wall intraperitoneally during laparoscopic repair of ventral hernia. Tackers are not required for the fixation of mesh.

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