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Hernia
Published in: Hernia 4/2019

01-08-2019 | Inguinal Hernia | How-I-Do-It

How I do it: the horizontal-bilateral unfolding method for self-gripping (Progrip™) mesh placement in laparoscopic inguinal hernia repair

Authors: J. Li, X. Shao, T. Cheng

Published in: Hernia | Issue 4/2019

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Abstract

Background

The use of the self-gripping mesh (Progrip™) during laparoscopic inguinal hernia has been proved to be effective and eliminates the need of additional fixation. However, the deployment of the self-gripping mesh is challenging due to its adhesive property. The purpose of this study was to introduce and describe an easy self-gripping mesh deployment method in laparoscopic inguinal hernia repair.

Methods

The self-gripping mesh was folded bilaterally towards the center of the mesh and placed vertically to align with the inferior epigastric artery, centered on the internal defect, then unfolded in a horizontal-bilateral unfolding method, first laterally, then medially.

Results

A total of 63 inguinal hernias were repaired laparoscopicly: 40 patients by TAPP or TEP technique with self-gripping mesh, and there were no perioperative complications. The average time of mesh placement was 186 s (45–250 s). The patients only feel minimal pain (less than VAS 3) the second postoperative morning, and most of the patients were discharged the next day postoperatively; the average postoperative hospital duration was 1 day (1–2 days).

Conclusion

The present “horizontal-bilateral unfolding” mesh deployment method is a relative easy method to implant the self-gripping mesh during laparoscopic inguinal hernia repair.

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Metadata
Title
How I do it: the horizontal-bilateral unfolding method for self-gripping (Progrip™) mesh placement in laparoscopic inguinal hernia repair
Authors
J. Li
X. Shao
T. Cheng
Publication date
01-08-2019
Publisher
Springer Paris
Keyword
Inguinal Hernia
Published in
Hernia / Issue 4/2019
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-01896-x

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