Totally Endoscopic Sublay Anterior Repair for Ventral and Incisional Hernias

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Federico FioriMarco Stella

Abstract

Endoscopic technique is a valid and safe approach for the treatment of abdominal wall defects. To combine the advantages of complete endoscopic extraperitoneal surgery with those of sublay mesh repair we propose Totally Endoscopic Sublay Anterior Repair (TESAR) a safe and feasible approach for the treatment of ventral and incisional midline hernias. From May to November 2018, 12 patients were referred to our unit for clinical and radiological diagnosis of midline ventral or incisional hernia and selected for TESAR. Exclusion criteria were: complicated ventral or incisional hernia (i.e., incarcerated hernia), maximum defect width >7 cm, and contraindications to general anesthesia. All procedures were completed with endoscopic approach, with no conversion to laparoscopy or open surgery. No intraoperative complications were registered. Total mean operative time was 148 ± 18.5 minutes. No postoperative major complications were registered. Only one subcutaneous seroma was registered (8.3%) and treated conservatively. The mean postoperative stay was 2.6 ± 0.6 days. TESAR is a safe and feasible technique for the extraperitoneal sublay repair of ventral hernias with a totally endoscopic approach. It provides accurate hernia repair with...Continue Reading

References

Apr 6, 2011·Journal of the American College of Surgeons·Christopher W SnyderMary T Hawn
May 27, 2011·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Parmanand PrasadBimalendu Sen
Dec 24, 2011·World Journal of Surgery·Nathan AllisonErik Wilson
Oct 12, 2012·World Journal of Surgery·Marissa L ClappMike K Liang
Dec 4, 2012·The Indian Journal of Surgery·Parmanand PrasadBimalendu Sen
Oct 12, 2013·Surgical Endoscopy·R BittnerUNKNOWN International Endohernia Society (IEHS)
Dec 10, 2013·American Journal of Surgery·Lucas TimmermansJohan F Lange
Aug 22, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Juan Bellido LuqueJ Guadalajara Jurado
Sep 23, 2014·American Journal of Surgery·Mike K LiangLillian S Kao
Jun 25, 2016·Surgical Endoscopy·Puraj P PatelAlfredo M Carbonell
Oct 22, 2016·Langenbeck's Archives of Surgery·J SchwarzReinhard Bittner
May 15, 2018·The Surgical Clinics of North America·Jeremy A Warren, Michael Love
Jul 6, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·I BelyanskyA Park
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Methods Mentioned

BETA
dissection

Software Mentioned

EMILOS
REPA
MILOS
TESAR
ELAR
IPOM

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