Abdominal Key

Fig. 8.1 Mesh fixation in TAPP with fibrin glue Independently of this adhesive effect, it is advisable to take into account that some of these substances have been associated with…

  Protack Absorbatack Permasorb Sorbafix/Permafix Ethicon Securestrap™ Company Covidien Covidien Bard/Davol Bard Davol Ethicon Construct Total length 3.3 mm 5.1 mm 6.08 mm 6.7 mm 7.2 mm Profile ~.4 mm…

Fig. 2.1 Anatomy of the anterior abdominal wall Skin (Integument) The epidermis has great capacity for regeneration because its nutrition comes via diffusion from the underlying vascular planes. Arterial vessels…

Type I Macroporous prosthesis pores >75 μ Monofilament polypropylene mesh Type II Macroporous prosthesis (at least one of three directions) Pores <10 μ ePTFE mesh Type III Macroporous prosthesis with…

Fig. 6.1 Instruments in TEP technique Additionally, and in order to create more preperitoneal space, we will use a PDB balloon trocar and subsequently a 12-mm BTT structural trocar. See…

Fig. 9.1 EHS classification for primary abdominal wall hernias (Reproduced with permission from Muysoms et al. [5]) Fig. 9.2 Classification according to the location of incisional ventral hernias (Adapted with…

Fig. 4.1 Pneumoflator A system that emits a light source. A fiber-optic light bundle. Illumination is provided by a high intensity but “cold” broadband light source. Energy Sources (Fig. 4.2)…

Fig. 13.1 Trocar placement Reduction of the Hernia Contents In open surgery, it is important not to try to reduce the hernia contents during induction of anesthesia, since it is…

Fig. 7.1 Polypropylene mesh. Normal or standard macroporous monofilament PP Type II: Artificial microporous, with pores smaller than 10 μm in at least one of its three dimensions. The best…

Fig. 5.1 Infraumbilical midline surgery Massive tear of the peritoneum during TEP: A change to TAPP is highly recommended. Chronic inguinodynia: In those patients suffering from chronic inguinal pain, once…