ID 111192
Author
Yuasa, Yasuhiro Tokushima Red Cross Hospital
Okitsu, Hiroshi Tokushima Red Cross Hospital
Matsuo, Yuta Tokushima Red Cross Hospital
Edagawa, Hiroshi Tokushima Red Cross Hospital
Mori, Osamu Tokushima Red Cross Hospital
Tani, Ryotaro Tokushima Red Cross Hospital
Kuramoto, Shunsuke Tokushima Red Cross Hospital
Ikeuchi, Mayumi Tokushima Red Cross Hospital
Tomibayashi, Atsushi Tokushima Red Cross Hospital
Keywords
Inguinal hernia
laparoscopy
transabdominal preperitoneal approach
surgical mesh
Content Type
Journal Article
Description
We devised a method for confirming the position of mesh placed during transabdominal preperitoneal repair (TAPP) of an inguinal hernia. The preperitoneum is sufficiently detached, and the mesh is fixed in place as usual. Before completely closing the peritoneum, pressure is applied from outside the body and inside the abdominal cavity to remove as much air as possible from the detached preperitoneum ; the peritoneum is then sutured using a V-LocTM closure device so that it does not constrict. By releasing the pressure all at once, the airtightness of the preperitoneum is maintained, and the position of the mesh can be observed through the translucent peritoneum. This method, called Mesh-Airtight-Preperitoneum (MAPP), could become widely used as a simple technique for confirming mesh position in TAPP.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
AA12022913
Publisher
Faculty of Medicine Tokushima University
Volume
63
Issue
3-4
Start Page
270
End Page
273
Sort Key
270
Published Date
2016-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher
departments
Medical Sciences