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Mesh fixation using the Funada-Style Gastropexy DeviceⅡ for laparoscopic incisional hernia repair Kan TANABE 1 , Shinichiro MORI 1 , Kenji BABA 1 , Yoshiaki KITA 1 , Masayuki YANAGI 1 , Shoji NATSUGOE 1 1Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima University Graduate School of Medical and Dental Sciences Keyword: 鮒田式 , 腹壁瘢痕ヘルニア , 腹腔鏡 pp.833-838
Published Date 2017/11/15
DOI https://doi.org/10.11477/mf.4426200486
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We report a novel mesh fixation technique using the Funada-style Gastropexy DeviceⅡ (FGⅡ, Create Medic Co., Ltd) for laparoscopic incisional hernia repair. After inserting and spreading out the mesh, we attached the mesh temporarily. First, we decided the direction of handling for the FGⅡ using a Cattelan needle with a test puncture. Next we used a 2-0 nylon suture to sequentially penetrate the subcutaneous tissue, abdominal wall, mesh, abdominal wall, and subcutaneous tissue using the FGⅡ. Using a mosquito clamp, we could extract one thread in the same region of another thread, and the threads were then tied in the subcutaneous layer. We performed the double crown technique for mesh fixation, and added absorbent tacks among the threads after 8-12 sutures with the FGⅡ. Mesh fixation using the FGⅡ for laparoscopic incisional hernia repair was safe and technically feasible, it ensured puncture of the intended target, and was a convenient technique for this procedure.


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

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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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