Endoscopic totally extraperitoneal approach (TEA) technique for primary ventral hernia repair
Li B., Qin C., Dr B. R. R.
Surgical Endoscopy
Vol.34, Issue8, P. 3734-3741
Опубликовано: 2020
Тип ресурса: Статья
DOI:10.1007/s00464-020-07575-8
Аннотация:
Background: Up to now the totally extraperitoneal (TEP) technique is limited to the treatment of inguinal hernias. Applying this anatomical repair concept to the treatment of other abdominal wall hernias, we developed an endoscopic totally extraperitoneal approach (TEA) to treat primary midline ventral hernias, including umbilical and epigastric hernias, in which for mesh placement, an anatomical space is developed between the peritoneum and the posterior rectus sheath in the ventral part of the abdominal wall (preperitoneal space). Methods: Between September 2017 and December 2019 according to the selection criterions, 28 consecutive primary midline ventral hernias were repaired using TEA. After extensive endoscopic development of the midline extraperitoneal plane, which was started in the suprasymphysic area, and reduction of the hernia sac, the hernia defect was closed and a large mesh was placed in the preperitoneal position to enforce the anterior abdominal wall. Results: All oper
Ключевые слова:
Endoscopic repair; Epigastric hernia; Primary ventral hernia; Totally extraperitoneal approach; Umbilical hernia
polyvinylidene fluoride; abdominal wall hernia; adult; aged; Article; clinical article; controlled study; conversion to open surgery; endoscopic surgery; female; follow up; hernioplasty; hospital readmission; hospitalization; human; male; middle aged; peritoneum; postoperative pain; priority journal; prospective study; recurrent disease; seroma; surgical approach; umbilical hernia; umbilicus; wound dehiscence
Язык текста: Английский
ISSN: 1432-2218
Li B.
Qin C.
Dr B. R. R. Bittner Raynkhard Robert 1942-
Ли Б.
Qин C.
Др Б. Р. Р. Биттнер Райнхард Роберт 1942-
Endoscopic totally extraperitoneal approach (TEA) technique for primary ventral hernia repair
Текст визуальный непосредственный
Surgical Endoscopy
Springer-Verlag New York
Vol.34, Issue8 P. 3734-3741
2020
Статья
Endoscopic repair Epigastric hernia Primary ventral hernia Totally extraperitoneal approach Umbilical hernia
polyvinylidene fluoride abdominal wall hernia adult aged Article clinical article controlled study conversion to open surgery endoscopic surgery female follow up hernioplasty hospital readmission hospitalization human male middle aged peritoneum postoperative pain priority journal prospective study recurrent disease seroma surgical approach umbilical hernia umbilicus wound dehiscence
Background: Up to now the totally extraperitoneal (TEP) technique is limited to the treatment of inguinal hernias. Applying this anatomical repair concept to the treatment of other abdominal wall hernias, we developed an endoscopic totally extraperitoneal approach (TEA) to treat primary midline ventral hernias, including umbilical and epigastric hernias, in which for mesh placement, an anatomical space is developed between the peritoneum and the posterior rectus sheath in the ventral part of the abdominal wall (preperitoneal space). Methods: Between September 2017 and December 2019 according to the selection criterions, 28 consecutive primary midline ventral hernias were repaired using TEA. After extensive endoscopic development of the midline extraperitoneal plane, which was started in the suprasymphysic area, and reduction of the hernia sac, the hernia defect was closed and a large mesh was placed in the preperitoneal position to enforce the anterior abdominal wall. Results: All oper