A New Method of Peritoneal Closure Following Laparoscopic Herniorrhaphy

Abstract

Of the three most commonly used methods of repairing inguinal hernias laparoscopically, we believe that the transabdominal (TAPP) approach is the most effective. To perform this technique successfully, complete closure of the peritoneum is recommended to avoid the formation of postoperative adhesions. Here we describe a technique that employs the Endo Stitch instrument, facilitating easier closure of the peritoneum.

Laparoscopic transabdominal preperitoneal approach for inguinal hernia repair: A five-year experience at a single center

“…This is very cost effective, with unchanged morbidity and recurrence rates. [37][38][39] Infection rates following the procedure are extremely low, probably because the mesh is placed through the trocar and never touches the skin. As some studies state, the time to do a laparoscopic repair from skin incision to fi nal stitch is as fast as an open mesh repair.…”

Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair

“…7 Since 1995, the EndoStitch device (Covidien, USA) has been used for laparoscopic suturing. 16,17 Although the use of this device in TAPP has been reported, 18 it…”

Percutaneous Transabdominal External Looped Needle for Peritoneal Closure in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair

“…7 Since 1995, the EndoStitch device (Covidien, USA) has been used for laparoscopic suturing. 16,17 Although the use of this device in TAPP has been reported, 18 it is not commonly used in herniorrhaphy. To date, there have been no suitable devices for peritoneal closure for beginners.…”