2017 Volume 42 Issue 1 Pages 19-23
We designed a new method for laparoscopic ventral hernia operation. We put the first port on the top of the hernia orifice with a small incision, called “Hernia orifice precedent approach”. We can easily reach intraperitoneal free space through hernia orifice, because hernia site is usually the thinnest abdominal wall. We can also utilize the small incision to deal with laparoscopic surgical devices and to fix the mesh onto abdominal wall. Furthermore, we can perform trimmings of the surplus hernia-sac to prevent occurring seroma as we used to perform in open method ventral hernia operation. By our procedure, first of all, we can easily get reached to intraperitoneal free space. Moreover, we can fix the surgical mesh surely and give the preventive treatment for postoperative complications. Thus, this technique keeps not only the low invasiveness element of the laparoscopic surgery but has advantages of the open method surgery. These points are particularly useful for fatty patients with ventral hernia.
