Case Report- Evaluation of the mesh fixation technique in laparoscopic incisional hernioplasty

• Published in: Indian journal of surgery Vol. 67; no. 6
• Main Author: Moreno-Egea A, Torralba-Martínez JA, Cuenca GM, Baena EG, la Calle MC, Albasini JL. A
• Format: Journal Article
• Language: English
• Published: Medknow Publications on behalf of Association of Surgeons of India 22-02-2006
• Subjects: Incisional hernia, laparoscopy, mesh fixation
• ISSN: 0972-2068

The laparoscopic repair of incisional hernias still has controversial
aspects, among which is the technique for mesh fixation to the
posterior abdominal wall. Whereas some authors advocate single fixation
with mechanical suture, others recommend a combined fixation of
transmural sutures and staples. Case history: We report the case of a
recurrent incisional hernia, which was treated via the laparoscopic
approach and found to be caused by a failure in mesh fixation. The
re-operation was completed via laparoscopy and 12 months after surgery
she remains asymptomatic with no apparent recurrence. Conclusion: (1)
′Ideal mechanical fixation′ does not yet exist and must
always be tested before the operation can be considered completed and
(2) folds or creases in double-layer meshes must be avoided as they
seem to favour the formation of visceral adhesions.