Mesh-Airtight-Preperitoneum: a simple method for confirming mesh placement in transabdominal preperitoneal repair of inguinal hernia

Yasuhiro Yuasa, Hiroshi Okitsu, Masakazu Goto, Yuta Matsuo, Hiroshi Edagawa, Osamu Mori, Ryotaro Tani, Shunsuke Kuramoto, Mayumi Ikeuchi, Atsushi Tomibayashi
2016 Journal of Medical Investigation  
We devised a method for confirming the position of mesh placed during transabdominal preperitoneal repair (TAPP) of an inguinal hernia. The preperitoneum is sufficiently detached, and the mesh is fixed in place as usual. Before completely closing the peritoneum, pressure is applied from outside the body and inside the abdominal cavity to remove as much air as possible from the detached preperitoneum ; the peritoneum is then sutured using a V-Loc TM closure device so that it does not constrict.
more » ... oes not constrict. By releasing the pressure all at once, the airtightness of the preperitoneum is maintained, and the position of the mesh can be observed through the translucent peritoneum. This method, called Mesh-Airtight-Preperitoneum (MAPP), could become widely used as a simple technique for confirming mesh position in TAPP.
doi:10.2152/jmi.63.270 pmid:27644570 fatcat:jgjcqdonk5embfq6jp7ayq2tza