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Subcutaneous switching suture technique for hernia defect closure during laparoscopic ventral and incisional hernia repair
Author(s) -
Morioka Daisuke,
Izumisawa Yusuke,
Ohyama Norio,
Yamaguchi Kazuya,
Horii Nobutoshi,
Asano Fumio,
Miura Masaru,
Sato Yoshiki
Publication year - 2021
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12839
Subject(s) - medicine , surgery , incisional hernia , hernia , fibrous joint , abdominal wall , ventral hernia , hernia repair
Abstract Introduction A vertical penetration of the thread through the abdominal wall for the hernia defect closure in laparoscopic ventral/incisional hernia repair (LVIHR) is difficult especially in the large defect cases when applying the existing techniques. Materials Sixteen LVIHRs were performed using the suture technique for defect closure we newly developed. Surgical technique With the subcutaneous switching, our technique only requires the suture‐passer and easily enables the vertical penetration of the thread through the abdominal muscular wall even in the large defect cases. Discussion The defect closure in LVIHR tends to be complicated in the large defect cases. Thus, we devised this technique for the easy, reliable, and firm closure even in the large defect cases. Although the sample size was currently very small, we consider that the favorable outcomes have been obtained through our technique because any noticeable complications, such as mesh bulging or recurrence, have not been observed currently.