Edorium Journal of

Surgery

 
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Original Article
 
Percutaneous trans-abdominal external needle for hernia defect closure in laparoscopic repair
Ahmed E. Lasheen1, Salah AbdElaal1, Mohammed Alkilany1, Tamer Alnaimy1, Amr Ibrahim1, TahaBaiomy1, Mohamed Abdel Hamid1
1Laparoscopic & General Surgical Department, Faculty of medicine, Zagazig University, Egypt.

Article ID: 100015S05AL2016
doi:10.5348/S05-2016-15-OA-5

Address correspondence to:
Ahmed E. Lasheen
General and Laparoscopic Surgery Department
Zagazig University

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How to cite this article
Lasheen AE, AbdElaal S, Alkilany M, Alnaimy T, Ibrahim A, Baiomy T, Hamid MA. Percutaneous trans-abdominal external needle for hernia defect closure in laparoscopic repair. Edorium J Surg 2016;5:18–23.


Abstract
Aims: Closure of hernia defect behind the mesh is essential for good results and making the procedure easy with laparoscopic hernia repair. Until now no defined technique is present.
Methods: During the period from March 2012 through December 2014, during laparoscopic hernia repair in 27 patients, the hernia defect was closed before putting mesh by our technique. Where, the hernia defect was closed percutaneous trans abdominal by using spinal needle No. 18 or tip hole needle. The mean follow-up period was 26 months.
Results: The ages of this patients group were ranged from 25 to 62 years (mean, 47 years). The mean time needed to put one suture was 1.7 minutes and number of sutures for good closure of hernia defect ranged from 2–7 interrupted sutures. No recurrence or mesh bulging or seroma formation or mesh infection was recorded in this patients group during the period of follow-up.
Conclusion: Our technique for hernia defect closure during laparoscopic hernia repair is effective, easy and associated with good results.

Keywords: Percutaneous, Hernia defect closure, Laparoscopic repair, Percutaneous


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Author Contributions:
Ahmed E. Lasheen – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Salah AbdElaal – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mohammed Alkilany – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Tamer Alnaimy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Amr Ibrahim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Taha Baiomy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mohamed Abdel Hamid – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Ahmed E. Lasheen et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



About The Authors

Ahmed E. Lasheen is Professor of General and Lap Surgery Department, Zagazig University, Egypt. He has published 30 research papers in national and international journals. His research interests include external tissue expansion using negative pressure in head and neck reconstruction, mini-laparoscopic appendectomy with new spiral needle and crossed triangular flaps for pilonidal sinus.



Salah AbdElaal, MD General & Lap Surgery Department, Zagazig University, Egypt.



Mohammed Alkilany, MD General & Lap Surgery Department, Zagazig University, Egypt.



Tamer Alnaimy, MD General & Lap Surgery Department, Zagazig University, Egypt.



Amr Ibrahim, MD General & Lap Surgery Department, Zagazig University, Egypt.



Taha Baiomy, MD General & Lap Surgery Department, Zagazig University, Egypt.



Mohamed Abdel Hamid, MD General & Lap Surgery Department, Zagazig University, Egypt.




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