Laparoscopic repair w/o mesh?

Hernia Discussion Forums Hernia Discussion Laparoscopic repair w/o mesh?

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    • #26539
      UhOh!
      Participant

      I can’t access the full article (nor do I know how reputable the publication is) but it appears to suggest that these surgeons are using a technique that can be suture-only in conjunction with lap surgeries. Can any of the physicians on here comment further?

      https://www.ncbi.nlm.nih.gov/pubmed/28779243

    • #26542
      drtowfigh
      Keymaster

      This is not a paper on tissue repair. It simply discusses what many of us already do for laparoscopic repair of direct inguinal hernias: we close the direct defect or imbricate the transversalis fascia prior to mesh placement. It reduces seroma formation and also, I believe, reduces eventration (pseudo-herniation) of mesh into the direct defect.

    • #26547
      UhOh!
      Participant

      Thanks. What caught my attention was the statement that mesh was not used in all cases. Which I had understood to be an absolute requirement of successful lap surgery. That’s what made me wonder whether this was something new(ish).

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