Applying Parietex ProGripTM in laparoscopic transabdominal preperitoneal approach for abdominal incisional hernia repair Suguru YAMAUCHI 1 , Yukinori YUBE 1 , Sanae KAJI 1 , Hajime ORITA 1 , Shinichi OKA 1 , Tetsu FUKUNAGA 1 1Department of Gastroenterology and Minimally Invasive Surgery, Juntendo University Faculty of Medicine Keyword: 腹壁瘢痕ヘルニア , TAPP , Parietex ProGripTM pp.418-423
Published Date 2020/9/15
DOI https://doi.org/10.11477/mf.4426200840
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 Although benefits of laparoscopic surgery for abdominal incisional hernia have been reported, there are some complications such as mesh infection, bowel obstruction, and enterocutaneous fistula that are deeply related to intraperitoneal mesh placement. Additionally, the common technique of laparoscopic traumatic fixation for mesh sometimes increases the chances of acute and chronic pain. In order to prevent complications and relieve pain associated with intraperitoneal mesh placement, we developed a new surgical technique applying ProgripTM mesh placement via laparoscopic transabdominal route. No additional fixation system is necessary in the preperitoneal space by using this technique. Here we present an incisional hernia patient who received our new surgical technique. A 72-year-old man visited our hospital, complaining of umbilical wound swelling 6 months after laparoscopic distal gastrectomy for gastric cancer. Abdominal computed tomography showed an abdominal wall defect(6*7cm) just below the previous umbilical wound. The patient was diagnosed as having abdominal incisional hernia. He underwent laparoscopic hernia repair using transabdominal preperitoneal approach with Parietex ProgripTM mesh with no complications. Our technique may be useful for patient with abdominal incisional hernia.

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