Mesh Fixation Devices

  • Diego Cuccurullo
Part of the Updates in Surgery book series (UPDATESSURG)


A fundamentally important step in the laparoscopic repair of incisional hernia is the fixation of the prosthesis to the abdominal wall. In fact, good results are due to the perfect rendering of this step, whereas non-adequate fixation can lead to serious postoperative complications. Dislocation of a not properly fixed prosthesis can cause, for example, a relapse of incisional hernia; a partial disconnection can also lead, in addition to a recurrence, to an interposition of an intestinal loop between the prosthetic mesh and the wall with subsequent occlusion, intestinal erosions and thus peritonitis and enteric fistula [1,2]. Also, the problem of serious chronic neuralgia can be a consequence of nerve entrapment due to the incorrect positioning of fasteners, especially transfascial sutures [1,3]. Similarly, a less than perfect adhesion of postoperative the prosthesis to the wall leaves empty spaces that increase the frequency of postoperative seromas [1, 2, 3].


Hernia Repair Incisional Hernia Inguinal Hernia Repair Ventral Hernia Laparoscopic Repair 
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© Springer-Verlag Italia 2008

Authors and Affiliations

  • Diego Cuccurullo

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