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Expansion method of ProGripTM Laparoscopic Self-Fixating Mesh in transabdominal preperitoneal approach(TAPP) Jun MUTO 1 , Katsuhiko MURAKAWA 1 , Hiroki KUSHIYA 1 , Kohei KATO 1 , Yoshiyuki YAMAMURA 1 , Koichi ONO 1 1Department of Surgery, Obihiro Kosei General Hospital Keyword: TAPP , プログリップ , メッシュ展開 pp.705-710
Published Date 2017/9/15
DOI https://doi.org/10.11477/mf.4426200463
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In transabdominal preperitoneal approach(TAPP), to the best of our knowledge, the procedure of mesh deployment has not been established. ProGripTM Laparoscopic Self-Fixating Mesh is fixed to the organs without traditional tack fixation, but sometimes the mesh is fixed to unintended tissues, such as the intestinal tract, the omentum, the peritoneum and etc. Our simple deployment method make it possible to avoid unintended adhesion. Polyethylene sheets was unfolded to the grip surface of the mesh and to roll the mesh. Also, the center is tied with the 2-0 silk thread. In the abdominal cavity, a polyethylene sheet was moved in the mesh and the mesh was moved outside the peritoneum, whose edge was fixed from inside. Then, thread was removed to roll out the mesh and the polyethylene sheet was removed, indicating the finish of the whole mesh development process.


Copyright © 2017, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

基本情報

電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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