Erschienen in:
01.11.2008 | Modern Surgery: Technical Innovation
Prophylactic Closure of Trocar Orifices with an Intraperitoneal Mesh (Ventralex®) in Laparoscopic Bariatric Surgery
verfasst von:
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
Erschienen in:
Obesity Surgery
|
Ausgabe 11/2008
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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.