Tack hernia: a new entity

Karl A LeBlanc, Karl A LeBlanc

Abstract

The repair of incisional and ventral hernias by the laparoscopic method is finding its place in the general surgical field. The use of tacks and transfascial sutures is commonplace. A new hernia has been identified. Two hernias have been seen following the successful repair of incisional hernias. These did not appear to be recurrent hernias as definite findings of fascial defects were present related to the tack sites themselves. This raises the question that possibilities exist that more of these "tack" hernias may be identified in the future. More research and possibly other fixation devices may prevent this entity from becoming more prevalent.

Figures

Figure 1.
Figure 1.
Laparoscopic appearance of “tack” hernia in Case 2. Note the 2 intact transfascial sutures on either side of the defect.
Figure 2.
Figure 2.
Laparoscopic appearance of the side opposite of the presenting hernia. The fascial defects at the site of the tacks are easily apparent.
Figure 3.
Figure 3.
The “staggered“ placement of the tacks at the periphery of the DualMesh Plus prosthesis.

References

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    1. LeBlanc KA, Bellanger DE, Rhynes KV, Baker DG, Stout RW. Tissue attachment strength of prosthetic meshes used in ventral and incisional hernia repair: a study in the New Zealand white rabbit adhesion model. Surg Endosc. In press
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Source: PubMed

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