| 摘要 |
A percutaneous mesh anchoring and placement device for use in groin hernia repair wherein trocars are positioned along a patient's abdominal midline an d extend into an insufflated pre-peritoneal space, the device being introduced into the pre-peritoneal space through a selected one of the trocars and comprising a tubular sleeve which encases a spirally-wound roll of prostheti c mesh having an anchor captured therein, the anchor having a string or tether attached thereto which extends outwardly through provided orifices in the prosthetic mesh and sleeve whereby the string may be grasped by the surgeon to position and hold the device firmly against the posterior abdominal wall, th e sleeve being separable from the mesh and removable from the pre-peritoneal space through a selected one of the trocars, the orifice in the mesh being o f suitable size as to permit the passage of a selected one of the trocars therethrough, whereby the prosthetic mesh may be partially unfurled and an edge stapled to the abdominal wall, the anchor being separable from the mesh and removable from the pre-peritoneal space through a selected one of the trocars, whereby the prosthetic mesh may be fully unfurled and its remaining edges stapled to the abdominal wall to repair the hernia. |
