AI Article Synopsis
- * This method involved using a vaginal entry point for the hernia repair, utilizing mesh augmentation akin to traditional laparoscopic methods.
- * Results showed no complications during the surgery or afterward, indicating successful repair and no signs of recurrence or infection after 10 months, suggesting this approach could be a viable scarless option, pending further research.
Article Abstract
Objective: Ventral hernia repair is a commonly performed operation and can be executed by open or laparoscopic approach. The search for even less invasive techniques continues. Natural orifice transluminal endoscopic surgery (NOTES) is a known method of minimally invasive surgery.
Methods: We performed an epigastric ventral hernia repair through vaginal NOTES during a concurrent hysterectomy and bilateral salpingectomy. We used the access to do a synchronous hernia repair with mesh augmentation. The technique of repair was identical to the laparoscopic intraperitoneal onlay mesh repair (Lap. IPOM).
Results: We reported a sufficient hernia repair without intra-operative complications. Also, post-operatively, no problems were encountered. Follow-up after 4 weeks showed a good and strong hernia repair. The complaints of the patient were relieved. CT scan 10 months after operation showed no recurrence nor signs of mesh infection.
Conclusions: Ventral hernia repair through vaginal NOTES can be considered a possible new and minimal invasive (scarless) technique for ventral hernia repair but further investigations on a larger scale are needed to confirm feasibility & safety.
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| http://dx.doi.org/10.1177/15533506241289482 | DOI Listing |
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