{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:21:20Z","timestamp":1740126080492,"version":"3.37.3"},"reference-count":21,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2017,10,12]],"date-time":"2017-10-12T00:00:00Z","timestamp":1507766400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2018,7]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The technique of laparoscopic ventral hernia repair has been evolving since it was first described over 20 years ago. We report a new technique where polyester mesh was back loaded through a 5\u2010mm port site, coming into contact with the skin. This avoids the need for any 10\u201312\u2010mm ports.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective database of laparoscopic ventral hernia repairs was examined. A single surgeon performed 344 laparoscopic ventral hernia repairs using this technique over 60 months. Follow\u2010up was conducted by both clinical and independent phone review. Surgical technique: Laparoscopic access was achieved via a 5\u2010mm optical port, adding two, or occasionally three, 5\u2010mm extra ports. Hernia contents were reduced and the extra\u2010peritoneal fat excised; 5\u2010mm tooth graspers were placed through the lateral port and then in a retrograde fashion through the uppermost port. The port was removed, and the mesh pulled back into the abdominal cavity and positioned with a minimum of 3\u2010cm overlap. The mesh was fixed using absorbable tacks and sutures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most patients had primary umbilical hernias. There was one case of mesh infection due to enteric organisms. This occurred in a patient undergoing repair of a stoma site hernia, resulting from a Hartmann's procedure for perforated diverticulitis. There was no other evidence of acute or chronic mesh infection despite cutaneous contact with the mesh. In this series, there was an overall hernia recurrence rate of 2.4%.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic ventral hernia repair using only 5\u2010mm ports is a safe, effective technique with no extra risk of infection.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.13985","type":"journal-article","created":{"date-parts":[[2017,10,13]],"date-time":"2017-10-13T04:38:46Z","timestamp":1507869526000},"page":"718-722","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Laparoscopic ventral hernia repair using only 5\u2010mm ports"],"prefix":"10.1111","volume":"88","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0579-9355","authenticated-orcid":false,"given":"Nicholas","family":"Bell\u2010Allen","sequence":"first","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harriet","family":"O'Rourke","sequence":"additional","affiliation":[{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"St Vincent's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Hong","sequence":"additional","affiliation":[{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"},{"name":"Mater Hospital  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"O'Rourke","sequence":"additional","affiliation":[{"name":"Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"The Wesley Hospital  Brisbane Queensland Australia"},{"name":"Department of Surgery The University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,12]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"39","article-title":"Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluroethylene: preliminary findings","volume":"3","author":"LeBlanc KA","year":"1993","journal-title":"Surg. 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