Edorium Journal of

Surgery

 
     
Original Article
 
Percutaneous spiral looped needle for peritoneal closure in laparoscopic transabdominal preperitoneal inguinal hernia repair
Ahmed E. Lasheen1, Mohamed Abdelhamid1, Taha Baiomy1, Hassan Awad1, Hassan Ashour1, Nadia Ismail1
Laparoscopic & General Surgical Department, Faculty of medicine, Zagazig University, Egypt

Article ID: 100018S05LA2017
doi:10.5348/S05-2017-18-OA-2

Address correspondence to:
Ahmed E Lasheen
MD, General and Laparoscopic Surgery Department
Zagazig University Hospital, Zagazig City
Egypt

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How to cite this article
Lasheen AE, Abdelhamid M, Baiomy T, Ibrahim I, Awad H, Ashour H, Ismail N. Percutaneous spiral looped needle for peritoneal closure in laparoscopic transabdominal preperitoneal inguinal hernia repair. Edorium J Surg 2017;4:8–13.


ABSTRACT

Aims: Transabdominal preperitoneal (TAPP) entails the development of peritoneal flaps in order to reduce hernia sac and create a preperitoneal space in which mesh fixed. After mesh fixation at preperitoneal space, the peritoneal defect must be closed well to prevent mesh contact with the abdominal viscera and internal herniation with risk of possible complications. The peritoneal defect was closed by new spiral looped needle percutaneous in this study.
Methods: This study included 47 patients suffering from inguinal hernias (27 indirect, 13 direct, 5 bilateral indirect types, 2 recurrent unilateral inguinal hernia after open hernia repair). This patients group subjected to transabdominal preperitoneal laparoscopic inguinal hernia repair from April 2015 through August 2016. The peritoneal defect closure in TAPP was done by spiral looped needle which passing to peritoneal cavity directly through abdominal wall. The outcome for this patients group was followed-up for period ranged from 5–23 months (mean 18 months).
Results: The mean ages of patients group was 49 years (ranged from 23–67 years). The peritoneal defect closure time with our method ranged from 5–10 minutes (mean 7.7 minutes). During the period of follow-up no intestinal obstruction or chronic pain or mesh migration were recorded.
Conclusion: Using spiral looped needle for peritoneal defect closure during TAPP associated with good results and free of intraoperative and postoperative complications. Our technique is easy to learning and no need for much laparoscopic experience.



Keywords: Laparoscopic hernia repair, Peritoneal closure, Spiral needle

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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
Mohamed Abdelhamid – 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
Islam Ibrahim – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hassan Awad – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Hassan Ashour – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Nadia Ismail – 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
© 2017 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.





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