Laparoscopic partially extraperitoneal (PEP) mesh repair for laterally placed ventral and incisional hernias

Richard R W Brady, Nicholas T Ventham, Andrew C De Beaux, Bruce Tulloh

Research output: Contribution to journalArticlepeer-review

Abstract

Laparoscopic mesh repair is becoming an increasingly popular method of ventral and incisional hernia repair. Entrapment neuropathy is a recognised complication when tacks are used to fix the mesh, particularly below the inguinal ligament and laterally in the abdominal wall. We describe a novel method of ventral hernia repair, which employs transabdominal extra-peritoneal dissection to create a pocket for mesh placement with complete avoidance of tacks in the postero-lateral abdominal wall. This technique is particularly useful for incisional hernias arising through old stoma wounds or appendicectomy incisions, and for Spigelian and lumbar hernias.

Original languageEnglish
Pages (from-to)e99-100
JournalSurgical Laparoscopy, Endoscopy and Percutaneous Techniques
Volume24
Issue number3
DOIs
Publication statusPublished - Jun 2014

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