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  • Title: Laparoscopic partially extraperitoneal (PEP) mesh repair for laterally placed ventral and incisional hernias.
    Author: Brady RR, Ventham NT, De Beaux AC, Tulloh B.
    Journal: Surg Laparosc Endosc Percutan Tech; 2014 Jun; 24(3):e99-100. PubMed ID: 24710242.
    Abstract:
    Laparoscopic mesh repair is becoming an increasingly popular method of ventral and incisional hernia repair. Entrapment neuropathy is a recognised complication when tacks are used to fix the mesh, particularly below the inguinal ligament and laterally in the abdominal wall. We describe a novel method of ventral hernia repair, which employs transabdominal extra-peritoneal dissection to create a pocket for mesh placement with complete avoidance of tacks in the postero-lateral abdominal wall. This technique is particularly useful for incisional hernias arising through old stoma wounds or appendicectomy incisions, and for Spigelian and lumbar hernias.
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