Transabdominal midline reconstruction by minimally invasive surgery: technique and results

Hernia : the Journal of Hernias and Abdominal Wall Surgery
T N CostaI Cecconello

Abstract

The introduction of the minimally invasive approach changed the way abdominal surgery was carried out. Open suture and mesh reinforcement in ventral hernia repair used to be the surgeon's choice of procedure. Although the laparoscopic approach, with defect bridging and mesh fixation, has been described since 1993, the procedure remains largely unchanged. Evidence shows that defect closure and retro-muscular mesh positioning have the best outcomes and are the best surgical practice. We therefore aimed to develop and demonstrate a procedure which combined the good results of open surgery using the Rives-Stoppa principles, particularly in terms of recurrence, with all the benefits of minimally invasive surgery. Between October 2012 and February 2014, 15 post-bariatric surgery patients underwent laparoscopic midline incisional hernia repair. The peritoneal cavity was accessed through a 5-mm optical view cannula at the superior left quadrant. A suprapubic and two right and left lower quadrant cannulas were inserted for inferior access and dissection. The defect adhesions were released. The whole midline was closed with an endoscopic linear stapler, including the defect, from the lower abdomen, 4 cm below the umbilicus, until the epi...Continue Reading

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Citations

Oct 2, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·W ReinpoldF Köckerling
Oct 22, 2016·Langenbeck's Archives of Surgery·J SchwarzReinhard Bittner
Oct 12, 2019·World Journal of Surgery·B RamanaDanny Rosin
May 15, 2018·The Surgical Clinics of North America·Jeremy A Warren, Michael Love
Jul 23, 2019·Advances in Surgery·Javier OteroB Todd Heniford
Jul 29, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F KöckerlingD Weyhe
Jul 24, 2021·Surgical Endoscopy·Jean-Pierre CossaÉdouard Pélissier
Apr 27, 2021·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Ramon PiniDavide La Regina

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