Prophylactic Closure of Trocar Orifices with an Intraperitoneal Mesh (Ventralex®) in Laparoscopic Bariatric Surgery

Abstract

Laparoscopic surgery reduces, but not eliminates, the rate of incisional hernia. It is accepted that large trocar orifices should be sutured, in order to prevent future herniation. In morbidly obese patients, the closure of the anterior fascia is a very difficult job, and it does not prevent from preperitoneal herniation. Ventralex composite mesh is a very easy-to-place device, which closes satisfactorily both the peritoneal opening and the subcutaneous trocar pathway. We recommend its use for large diameter orifices and Hasson orifices in bariatric patients.

Single Anastomosis Duodeno–Ileal Bypass with Sleeve Gastrectomy (SADI-S). One to Three-Year Follow-up

“…In the postoperative period, one patient suffered upper gastrointestinal bleeding from the gastric staple line which was successfully controlled endoscopically. One patient suffered an early trocar orifice herniation, and she was submitted to surgical correction of the hernia with the placement of an intraperitoneal mesh (Ventralex™, BARD®, C. R. Bard, Inc., New Jersey, USA) [3]. One patient had a radiological gastric leak which coursed uneventfully and was discharged under oral diet at the 13th postoperative day.…”

Respect for the Laparoscopic Port Site: Lessons in Diagnosis, Management, and Prevention of Port-Site Hernias Following Laparoscopic Colorectal Surgery

“…The Ventralex Ô composite mesh has been utilized successfully in bariatric surgery for larger diameter trocar orifices. 10 …”

Technique of open laparoscopy for supramesocolic surgery in obese patients

“…Several techniques are proposed for port-site closure [6]. Some are difficult to perform in obese patients; others are expensive or need to leave a nonresorbable mesh in a potential septic context [7]. The xiphoumbilical length grows with increasing weight.…”