TITLE:
Short-Term Outcome of “Double Crown” Tackers Mesh Fixation in Laparoscopic Ventral Hernia Repair
AUTHORS:
Tamer A. El-Bakary, S. Abdelaziem, A. Abdel Hafiz, Mohamed S. Hashish
KEYWORDS:
Laparascopic, Verntral Hernia, Double Crown Fixation
JOURNAL NAME:
Surgical Science,
Vol.6 No.3,
February
28,
2015
ABSTRACT: Background:Many ventral hernia
repair methods have been described among surgeons. The traditional primary
repair entails a laparotomy with suture approximation of strong fascial tissue
on each side of the defect. However, recurrence rates after this procedure
range from 12% to 24% during long-term follow-up. Laparoscopic ventral hernia
repair (LVHR) is a well recognized minimally invasive surgical technique for
repair of different types of abdominal wall ventral hernias. However, the best
method of mesh fixation during LVHR is still a subject ofdebate.Patients
& Methods: In the present study, 50 patients were presented with ventral
hernia between June 2012 and October 2013. Demographics of the patients were
recorded. All patients were submitted to LVHR with mesh fixation by “Double
Crown” of tackers. The first crown was placed on the mesh periphery with 1 cm
between each 2 successive tackers and the second crown around the edges of the
defect. Operative complications, VAS scale, post-operative complications, and
length of hospital stay were reported. Results: The mean age was 40.08 years.
Female to male ratio was 3:2. The mean BMI was 32.3. The diameter of the
hernial defect was