The management of certain abdominal herniae by intra-abdominal closure of the neck of the sac. Preliminary communication.

Various herniae present at the time of major abdominal surgery were managed by simple occulusion of the peritoneal opening of the sac by interrupted metal clips. Short-term success (the longest follow-up is over 44 months) in 11 of a series of 12 patients (one patient died before follow-up could be carried out) has led to the development of a method for closure of the neck of the sac via laparoscopy. This approach has been used in one case with early success and a full clinical trial is being planned.