Skip to main content
Top
Published in: Obesity Surgery 11/2008

01-11-2008 | Modern Surgery: Technical Innovation

Prophylactic Closure of Trocar Orifices with an Intraperitoneal Mesh (Ventralex®) in Laparoscopic Bariatric Surgery

Authors: Andrés Sánchez-Pernaute, Elia Pérez-Aguirre, Alejandra García Botella, Lorena Rodríguez, Esteban Martín Antona, Juan Cabeza, Domingo Jiménez Valladolid, Miguel Angel Rubio, Isabel Delgado, Antonio Torres

Published in: Obesity Surgery | Issue 11/2008

Login to get access

Abstract

Laparoscopic surgery reduces, but not eliminates, the rate of incisional hernia. It is accepted that large trocar orifices should be sutured, in order to prevent future herniation. In morbidly obese patients, the closure of the anterior fascia is a very difficult job, and it does not prevent from preperitoneal herniation. Ventralex® composite mesh is a very easy-to-place device, which closes satisfactorily both the peritoneal opening and the subcutaneous trocar pathway. We recommend its use for large diameter orifices and Hasson orifices in bariatric patients.
Literature
1.
2.
go back to reference Chiu CC, Lee WJ, Wang W, et al. Prevention of trocar-wound hernia in laparoscopic bariatric operations. Obes Surg. 2006;16:913–8.PubMedCrossRef Chiu CC, Lee WJ, Wang W, et al. Prevention of trocar-wound hernia in laparoscopic bariatric operations. Obes Surg. 2006;16:913–8.PubMedCrossRef
3.
go back to reference Johnson WH, Fecher AM, McMahon RL, et al. VersaStep trocar hernia rate in unclosed fascial defects in bariatric patients. Surg Endosc. 2006;20:1584–6.PubMedCrossRef Johnson WH, Fecher AM, McMahon RL, et al. VersaStep trocar hernia rate in unclosed fascial defects in bariatric patients. Surg Endosc. 2006;20:1584–6.PubMedCrossRef
4.
go back to reference Eid GM, Collins J. Application of a trocar wound closure system designed for laparoscopic procedures in morbidly obese patients. Obes Surg. 2005;15:871–3.PubMedCrossRef Eid GM, Collins J. Application of a trocar wound closure system designed for laparoscopic procedures in morbidly obese patients. Obes Surg. 2005;15:871–3.PubMedCrossRef
5.
go back to reference Cottam DR, Gorecki PJ, Curvelo M, et al. Preperitoneal herniation into a laparoscopic port site without a fascial defect. Obes Surg. 2002;12:121–3.PubMedCrossRef Cottam DR, Gorecki PJ, Curvelo M, et al. Preperitoneal herniation into a laparoscopic port site without a fascial defect. Obes Surg. 2002;12:121–3.PubMedCrossRef
6.
go back to reference Hadi HI, Maw A, Sarmah S, et al. Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients. Hernia. 2006;10:409–13.PubMedCrossRef Hadi HI, Maw A, Sarmah S, et al. Intraperitoneal tension-free repair of small midline ventral abdominal wall hernias with a Ventralex hernia patch: initial experience in 51 patients. Hernia. 2006;10:409–13.PubMedCrossRef
7.
go back to reference Martin DF, Williams RF, Mulrooney T, et al. Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia. 2008. doi:10.1007/s10029-008-0351-7. Martin DF, Williams RF, Mulrooney T, et al. Ventralex mesh in umbilical/epigastric hernia repairs: clinical outcomes and complications. Hernia. 2008. doi:10.​1007/​s10029-008-0351-7.
8.
go back to reference Sugerman HJ, Kellum JM Jr, Reines HD, et al. Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh. Am J Surg. 1996;171:80–4.PubMedCrossRef Sugerman HJ, Kellum JM Jr, Reines HD, et al. Greater risk of incisional hernia with morbidly obese than steroid-dependent patients and low recurrence with prefascial polypropylene mesh. Am J Surg. 1996;171:80–4.PubMedCrossRef
9.
go back to reference Gutierrez de la Pena C, Medina Achirica C, Dominguez-Adame E, et al. Primary closure of laparotomies with high risk of incisional hernia using prosthetic material: analysis of usefulness. Hernia. 2003;7:134–6.PubMedCrossRef Gutierrez de la Pena C, Medina Achirica C, Dominguez-Adame E, et al. Primary closure of laparotomies with high risk of incisional hernia using prosthetic material: analysis of usefulness. Hernia. 2003;7:134–6.PubMedCrossRef
10.
go back to reference Whitley E, Ball J. Statistics review 4: sample size calculations. Crit Care (London, England). 2002;6:335–41. Whitley E, Ball J. Statistics review 4: sample size calculations. Crit Care (London, England). 2002;6:335–41.
Metadata
Title
Prophylactic Closure of Trocar Orifices with an Intraperitoneal Mesh (Ventralex®) in Laparoscopic Bariatric Surgery
Authors
Andrés Sánchez-Pernaute
Elia Pérez-Aguirre
Alejandra García Botella
Lorena Rodríguez
Esteban Martín Antona
Juan Cabeza
Domingo Jiménez Valladolid
Miguel Angel Rubio
Isabel Delgado
Antonio Torres
Publication date
01-11-2008
Publisher
Springer-Verlag
Published in
Obesity Surgery / Issue 11/2008
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI
https://doi.org/10.1007/s11695-008-9598-4

Other articles of this Issue 11/2008

Obesity Surgery 11/2008 Go to the issue