Modified funada's gastropexy needle for mesh fixation in the subcutaneous layer using thread during Laparoscopic incisional hernia repair

Recent advances in laparoscopic surgery have improved the scope, ease, and effectiveness of abdominal surgery including laparoscopic abdominal incisional hernia repair using a mesh repair technique. Here, we present a new procedure for fixing mesh to the abdominal wall with thread instead of tacks, using a modified Funada's gastropexy device (Create Medic Co, Ltd, Yokohama, Japan). This modified device has I needle bent to cross the other, enabling the threads to be tied in the subcutaneous layer to fix the mesh to the abdominal wall. We describe how to make and use this modified device in a laparoscopic procedure.