Vicryl polyglactin

The laparoscopic technique was performed using the transabdominal peritoneal route under general anesthesia without the placement of a nasogastric tube or urinary catheter. The 5‐mm optical trocar was placed at the upper rim of the umbilicus. Both working trocars, one 5‐mm and one 12‐mm trocar, were placed at the level of the navel to the right and the left of the border of the rectus abdominis. A mostly blunt dissection was performed strictly along the anatomical landmarks (rectus muscle, epigastric vessels, symphysis and Cooper's ligament, and transverse fascia) and ended in complete anatomical dissection of the whole pelvic floor. Thorough hemostasis should always be performed. Parietalization was especially important, which involves removing all adhesions between the retroperitoneal tissue (fascia spermatica) and the peritoneum down to the middle of the psoas muscle. Two 3D Max^® meshes (Bard Davol, Inc) were implanted, overlapping the defect. The mesh had to overlap the defect by at least 3 cm in each direction. The meshes were fixed into position using PermaFix^® (Bard Davol Inc) to the pectineal ligament and to the anterior abdominal wall. The peritoneum was closed with a 3‐0 Vicryl (polyglactin; Ethicon Inc) running suture. The skin was closed with a 4‐0 Vicryl (polyglactin; Ethicon Inc) interrupted suture.