Aims: Transabdominal preperitoneal (TAPP) entails the development of peritoneal flaps in order to reduce hernia sac and create a preperitoneal space in which mesh fixed. After mesh fixation at preperitoneal space, the peritoneal defect must be closed well to prevent mesh contact with the abdominal viscera and internal herniation with risk of possible complications. The peritoneal defect was closed by new spiral looped needle percutaneous in this study.
Methods: This study included 47 patients suffering from inguinal hernias (27 indirect, 13 direct, 5 bilateral indirect types, 2 recurrent unilateral inguinal hernia after open hernia repair). This patients group subjected to transabdominal preperitoneal laparoscopic inguinal hernia repair from April 2015 through August 2016. The peritoneal defect closure in TAPP was done by spiral looped needle which passing to peritoneal cavity directly through abdominal wall. The outcome for this patients group was followed-up for period ranged from 5–23 months (mean 18 months).
Results: The mean ages of patients group was 49 years (ranged from 23–67 years). The peritoneal defect closure time with our method ranged from 5–10 minutes (mean 7.7 minutes). During the period of follow-up no intestinal obstruction or chronic pain or mesh migration were recorded.
Conclusion: Using spiral looped needle for peritoneal defect closure during TAPP associated with good results and free of intraoperative and postoperative complications. Our technique is easy to learning and no need for much laparoscopic experience.