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Surg Laparosc Endosc Percutan Tech · Jun 2014
Case ReportsLaparoscopic partially extraperitoneal (PEP) mesh repair for laterally placed ventral and incisional hernias.
- Richard R W Brady, Nicholas T Ventham, Andrew C De Beaux, and Bruce Tulloh.
- Speciality Trainee in General Surgery, South East Scotland, Edinburgh Hernia Service, Royal Infirmary of Edinburgh, Edinburgh, Midlothian, UK.
- Surg Laparosc Endosc Percutan Tech. 2014 Jun 1;24(3):e99-100.
AbstractLaparoscopic mesh repair is becoming an increasingly popular method of ventral and incisional hernia repair. Entrapment neuropathy is a recognised complication when tacks are used to fix the mesh, particularly below the inguinal ligament and laterally in the abdominal wall. We describe a novel method of ventral hernia repair, which employs transabdominal extra-peritoneal dissection to create a pocket for mesh placement with complete avoidance of tacks in the postero-lateral abdominal wall. This technique is particularly useful for incisional hernias arising through old stoma wounds or appendicectomy incisions, and for Spigelian and lumbar hernias.
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