Video shows Covidien ProGrip mesh being placed in a laparoscopic TEP hernia repair.
Technique tips and tricks;
Folding technique:
- loose fold (not tight roll).
- 2 fold from top to center, 1 x fold from bottom edge to center, then bring the two halves together.
- use a marker to extensively highlight where the two halves meet. Otherwise, it's very hard to see the join when trying to position and unfold the mesh.
Dissection
- Broad dissection inferiorly and laterally
- ProGrip will stick easily to peritoneum and fat so clear away
Placement:
- Get the placement right before unfolding. roughly speaking get the middle of the mesh sitting horizontally over the deep ring
- Unfold one entire fold at a time moving along the length of the fold, as shown in video. Start with inferior edge.
