RT Journal Article T1 Prophylactic Closure of Trocar Orifices with an Intraperitoneal Mesh (Ventralex®) in Laparoscopic Bariatric Surgery A1 Rodríguez, Lorena A1 Martín Antona, Esteban A1 Cabezas, Juan A1 Jiménez Valladolid, Domingo A1 Delgado, Isabel A1 Sánchez Pernaute, Andrés A1 Pérez Aguirre, María Elia A1 García Botella, Alejandra María A1 Rubio Herrera, Miguel Ángel A1 Torres García, Antonio José AB Laparoscopic surgery reduces, but not eliminates, the rate of incisional hernia. It is accepted that large trocar orifices should be sutured, in order to prevent future herniation. In morbidly obese patients, the closure of the anterior fascia is a very difficult job, and it does not prevent from preperitoneal herniation. Ventralex (R) composite mesh is a very easy-to-place device, which closes satisfactorily both the peritoneal opening and the subcutaneous trocar pathway. We recommend its use for large diameter orifices and Hasson orifices in bariatric patients. PB Springer SN 0960-8923 YR 2008 FD 2008-06-24 LK https://hdl.handle.net/20.500.14352/117166 UL https://hdl.handle.net/20.500.14352/117166 LA eng NO Sánchez-Pernaute A, Pérez-Aguirre E, García Botella A, Rodríguez L, Antona EM, Cabeza J, Valladolid DJ, Rubio MA, Delgado I, Torres A. Prophylactic closure of trocar orifices with an intraperitoneal mesh (ventralex) in laparoscopic bariatric surgery. Obes Surg. 2008 Nov;18(11):1489-91. doi: 10.1007/s11695-008-9598-4. Epub 2008 Jun 24. PMID: 18574643. DS Docta Complutense RD 1 ene 2026