{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T07:32:13Z","timestamp":1776756733694,"version":"3.51.2"},"reference-count":11,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2022,1,1]],"date-time":"2022-01-01T00:00:00Z","timestamp":1640995200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"abstract":"<jats:p>ABSTRACT  BACKGROUND: The laparoscopic approach for inguinal hernia repair has been widely used since its introduction in the 1990s. As a step in the procedure, the surgeon must access the preperitoneal space through an incision in the peritoneum, creating an adequate dissection for mesh placement. At the end of the procedure, the peritoneal flap must be closed to avoid adhesions. There are several methods to close the peritoneum.  AIMS: The aim of this study was to propose a simple method for closing the peritoneal flap, using titanium clips, exposing its advantages and disadvantages.  METHODS: Description of the peritoneum flap closure technique, using titanium clips, in the last 15 years.  RESULTS: The pneumoperitoneum was reduced to a pressure of 7 mmHg; then, the two edges of the peritoneal flap were approximated together and, with the aid of a Maryland grasper, were kept together; titanium clips were used to close the flap. The process is repeated along the entire peritoneal incision until it is completely closed.  CONCLUSIONS: The use of titanium clips proved to be a fast, inexpensive, and effective method for closing the peritoneal flap in videolaparoscopic inguinal hernioplasties, with no major or recurrent complications reported. Therefore, it is an effective and safe method for the closure of the peritoneal defect.<\/jats:p>","DOI":"10.1590\/0102-672020220002e1676","type":"journal-article","created":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T20:31:23Z","timestamp":1662755483000},"source":"Crossref","is-referenced-by-count":2,"title":["TITANIUM CLIPS FOR CLOSURE OF THE PERITONEAL FLAP DURING LAPAROSCOPIC INGUINAL HERNIA REPAIR"],"prefix":"10.1590","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0491-0736","authenticated-orcid":false,"given":"Eduardo Neubarth","family":"Trindade","sequence":"first","affiliation":[{"name":"Porto Alegre University Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1944-1343","authenticated-orcid":false,"given":"Eduardo Ferreira","family":"Martins","sequence":"additional","affiliation":[{"name":"Porto Alegre University Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7809-8296","authenticated-orcid":false,"given":"Manoel Roberto Maciel","family":"Trindade","sequence":"additional","affiliation":[{"name":"Porto Alegre University Hospital,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2022]]},"reference":[{"issue":"1","key":"ref1","first-page":"53","article-title":"Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report","volume":"2","author":"Arregui ME","year":"1992","journal-title":"Surg Laparosc Endosc"},{"issue":"9","key":"ref2","doi-asserted-by":"crossref","first-page":"2773","DOI":"10.1007\/s00464-011-1799-6","article-title":"Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]","volume":"25","author":"Bittner R","year":"2011","journal-title":"Surg Endosc"},{"issue":"2","key":"ref3","doi-asserted-by":"crossref","DOI":"10.1590\/0102-672020210002e1597","article-title":"Challenges to the 10 golden rules for a safe minimally invasive surgery (MIS) inguinal hernia repair: can we improve?","volume":"34","author":"Claus C","year":"2021","journal-title":"Arq Bras Cir Dig"},{"issue":"9","key":"ref4","doi-asserted-by":"crossref","first-page":"1782","DOI":"10.1111\/ans.15665","article-title":"Peritoneal pocket hernia after laparoscopic femoral hernia repair: a rare cause of bowel obstruction","volume":"90","author":"Issa M","year":"2020","journal-title":"ANZ J Surg"},{"issue":"6","key":"ref5","article-title":"Small bowel obstruction caused by self-anchoring suture used for peritoneal closure following robotic inguinal hernia repair","volume":"2016","author":"Khan FA","year":"2016","journal-title":"J Surg Case Rep"},{"issue":"3","key":"ref6","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1007\/s10029-014-1301-1","article-title":"Small bowel obstruction after TAPP repair caused by a self-anchoring barbed suture device for peritoneal closure: case report and review of the literature","volume":"19","author":"K\u00f6hler G","year":"2015","journal-title":"Hernia"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"1121","DOI":"10.1007\/s10029-020-02237-z","article-title":"Closing peritoneal tear during laparoscopic inguinal hernia repair: simple and effective technique","volume":"24","author":"Mathew KG","year":"2020","journal-title":"Hernia"},{"issue":"5","key":"ref8","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1007\/s10029-008-0341-9","article-title":"Preperitoneal herniation and bowel obstruction post laparoscopic inguinal hernia repair: case report and review of the literature","volume":"12","author":"McKay R","year":"2008","journal-title":"Hernia"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.amsu.2019.11.011","article-title":"Usefulness of repair using Hem-o-lok\u2122 for peritoneal tear as a complication of totally extraperitoneal repair: case series","volume":"49","author":"Nitta T","year":"2019","journal-title":"Ann Med Surg"},{"issue":"6","key":"ref10","doi-asserted-by":"crossref","first-page":"2548","DOI":"10.1007\/s00464-016-5258-2","article-title":"Does peritoneal flap closure technique following transabdominal preperitoneal (TAPP) inguinal hernia repair make a difference in postoperative pain? A long-term quality of life comparison","volume":"31","author":"Ross SW","year":"2017","journal-title":"Surg Endosc"},{"issue":"1","key":"ref11","article-title":"Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair","author":"Wake BL","year":"2005","journal-title":"Cochrane Database Syst Rev"}],"container-title":["ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S\u00e3o Paulo)"],"original-title":["CLIPES DE TIT\u00c2NIO PARA O FECHAMENTO DO RETALHO PERITONEAL DURANTE A CORRE\u00c7\u00c3O DE H\u00c9RNIA INGUINAL VIDEOLAPAROSC\u00d3PICA"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-67202022000100401&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,9]],"date-time":"2022-09-09T20:31:35Z","timestamp":1662755495000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-67202022000100401&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022]]},"references-count":11,"alternative-id":["S0102-67202022000100401"],"URL":"https:\/\/doi.org\/10.1590\/0102-672020220002e1676","relation":{},"ISSN":["2317-6326","0102-6720"],"issn-type":[{"value":"2317-6326","type":"electronic"},{"value":"0102-6720","type":"print"}],"subject":[],"published":{"date-parts":[[2022]]},"article-number":"e1676"}}