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[Incisional hernias: minimally invasive surgical procedures].
Chirurgie (Heidelb)
January 2024
Klinik für Allgemein‑, Viszeral‑, Transplantations‑, Gefäß- und Kinderchirurgie, Universitätsklinkum Würzburg, Oberdürrbacherstr. 6, 97080, Würzburg, Deutschland.
Background: In recent years many new surgical techniques for minimally invasive treatment of ventral hernias have been developed and introduced. This review article presents these new minimally invasive surgical techniques, such as extended totally extraperitoneal (eTEP) repair, mini or less open sublay (MILOS), endoscopic-assisted linea alba reconstruction (ELAR), the ventral transabdominal preperitoneal patch (TAPP) technique, intraperitoneal onlay mesh (IPOM) plus and laparoscopic intracorporeal rectus aponeuroplasty (LIRA) and discusses recently published results.
Results: Modern minimally invasive techniques for the treatment of ventral hernias have the potential to reduce surgical site infections, lower postoperative pain and lead to a shorter duration of hospital stay compared to the classical open hernia repair; however, especially techniques with a retromuscular mesh position are technically challenging due to the preparation in a limited space and difficult to perform endoscopic sutures and necessitate detailed knowledge of the anatomy of the abdominal wall.
Preperitoneal LIRA: An alternative in primary midline hernia repair.
Cir Esp (Engl Ed)
March 2024
General and Digestive Surgery Department, Hospital Quirón-salud Sagrado Corazón, C. Rafael Salgado, 3, 41013 Sevilla, Spain; General and Digestive Surgery Department, University Hospital Virgen Macarena, Avda. Dr. Fedriani, 3, 41009 Sevilla, Spain.
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