A novel alternative to suture passer for closure of fascial defect in laparoscopic ventral hernia repair. A case report
| Autor: | Jun Han Lai, Mohamad Aznan Shuhaili, Nik Ritza Kosai, Guo Hou Loo |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Mesh hernia repair Incisional hernia medicine.medical_treatment Extracorporeal Article 03 medical and health sciences Defect closure Laparoscopic IPOM plus Transfascial suture passer 0302 clinical medicine medicine Bridged repair Fibrous joint Ventral hernia repair business.industry Hernia repair medicine.disease Cannula Surgery body regions medicine.anatomical_structure 030220 oncology & carcinogenesis Ventral hernia 030211 gastroenterology & hepatology business |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| Popis: | Highlights • Transfascial suture passer has been traditionally used to perform primary fascial closure in laparoscopic IPOM hernia repair. • We propose a novel alternative to suture passer in primary fascial closure by using large-bore intravenous (IV) cannula. • The advantage of using IV cannula is that it is widely available and requires a lower insertion force. • This is the first published report on using IV cannula as an alternative to suture passer for fascial closure in laparoscopic IPOM repair. • This technique is easily reproducible and does not violate the principles of primary fascial defect closure. Introduction Primary fascial closure can be a challenging step during a laparoscopic intraperitoneal onlay mesh (IPOM) repair for a ventral hernia. Case presentation We present here a novel technique of using intravenous (IV) cannula as an alternative to suture passer for fascial closure during laparoscopic IPOM repair for a 59-year-old patient with an incisional ventral hernia. The placement of non-absorbable sutures for fascial closure was done with the help of a 14 gauge IV cannula instead of a transfascial suture passer. The rest of the procedural steps were the same as a standard laparoscopic IPOM repair. The patient's post-operative recovery was uneventful. Discussion Primary fascial closure during a laparoscopic IPOM hernia repair can be done either by intracorporeal or extracorporeal techniques, using interrupted or continuous sutures. We propose a novel alternative to suture passer in primary fascial closure. IV cannulas are widely available in hospital settings. The advantage of using an IV cannula instead of a suture passer is that they are widely available. Its single-use also eliminates the risk of transmissible diseases, and as it has a smaller diameter than suture passer, it requires a lower insertion force for successful placement. Conclusion An IV cannula may be used as a more economical alternative to a transfascial suture passer. This technique is easily reproducible and does not violate the principles of primary fascial defect closure in laparoscopic ventral hernia repair. |
| Databáze: | OpenAIRE |
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