Laparoscopic extraperitoneal repair of strangulated femoral - Laparotomy Surgery
A Visiport is used to create the working space. The ring is divided medially and hernia reduced, the dissection is performed afterwards in the usual fashion and the defect is repaired with preformed Bard mesh fixed in place with 5mm Protak. The advantages of using the Visiport are multiple: it is quick and eliminates the fiddle and expense of the balloon kit; the dissection is performed only on the side where the surgery is intended leaving the opposite side untouched ("you don't need to "check" for a hernia on the other side"); by using a Prolene mesh and no fixation the procedure becomes very cheap and provided the hospital has laparoscopic equipment it can be performed at lower costs than open surgery (good for public hospitals, third world countries and for whoever else wants to save money) -- IASGO2007 -- I presented a review of this procedure for inguinal hernia repair substantiated by clinical cases. References: Dr Oliver Florica www.sydneygastricbanding.com.au
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