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| Format: | Artículo científico |
| Langue: | en |
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Universidad Autónoma de Bucaramanga
2022
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| Accès en ligne: | https://www.redalyc.org/articulo.oa?id=71975382017 https://www.redalyc.org/journal/719/71975382017/ https://www.redalyc.org/journal/719/71975382017/html/ https://www.redalyc.org/journal/719/71975382017/71975382017.epub https://www.redalyc.org/journal/719/71975382017/movil https://doi.org/10.29375/01237047.4491 |
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| author | Jeancarlos Jhosmer Trujillo-Díaz |
| author_facet | Jeancarlos Jhosmer Trujillo-Díaz |
| contents | Laparoscopic Management of Ventral Hernias by Totally Extraperitoneal (eTEP) Approach: Initial Experience and Short-Term Results Jeancarlos Jhosmer Trujillo-Díaz Juan Ramón Gómez-López Pilar Concejo-Cutoli Clara Martínez-Moreno Javier Atienza- Herrero Juan Carlos Martín-del Olmo Medicina Hernia Ventral Abdominal Laparoscopy Incisional Hernia Introduction. Managing ventral hernia remains a challenge for surgeons. Repairing it using minimally invasive techniques, such as laparoscopic totally extraperitoneal (eTEP), which allows for a wide dissection of the space to be repaired, faster postoperative recovery, less postoperative pain and shorter hospital stay. The eTEP approach is a novel technique that focus on the uses of the retromuscular space to place prosthetic material and strengthen the abdominal wall. The objective is to describe the short-term results of our initial experience with the eTEP technique in the management of ventral hernias. Methodology. Observational, descriptive, retrospective, study, which included patients with a diagnosis of ventral hernia, undergoing laparoscopic eTEP surgery, between July-2021 and June-2022. Results. Of a total of 21 patients, 61.9% were men. 47.6% were overweight and 52.4% were obese. Average hospital stay: 1.6 days. 66.7% were incisional hernias. The surgical techniques performed were: Rives-Stoppa (71.4%) with associated transversus abdominis muscle release in 28.6%. 19% of the patients presented global complications and only one was severe, requiring surgical reintervention. The presence of clinical seroma was observed in 9.5% and ultrasound in 57.1%. There was no evidence of hematomas, surgical wound infection or cases of hernia recurrence. Discussion and conclusions. The laparoscopic-eTEP Rives-Stoppa approach, associated or not with posterior separation of components, in the management of ventral hernias offers good results with a low incidence of postoperative complications, short hospital stay, low incidence of hernia recurrences, so it could be considered a safe and effective technique in the treatment of ventral hernias. 2022 artículo científico 0123-7047 https://www.redalyc.org/articulo.oa?id=71975382017 https://www.redalyc.org/journal/719/71975382017/ https://www.redalyc.org/journal/719/71975382017/html/ https://www.redalyc.org/journal/719/71975382017/71975382017.epub https://www.redalyc.org/journal/719/71975382017/movil https://doi.org/10.29375/01237047.4491 en http://www.redalyc.org/revista.oa?id=719 MedUNAB application/pdf Universidad Autónoma de Bucaramanga MedUNAB (Colombia) Num.3 Vol.25 |
| format | Artículo científico |
| id | redalyc_71975382017 |
| language | en |
| publishDate | 2022 |
| publisher | Universidad Autónoma de Bucaramanga |
| spellingShingle | Laparoscopic Management of Ventral Hernias by Totally Extraperitoneal (eTEP) Approach: Initial Experience and Short-Term Results Jeancarlos Jhosmer Trujillo-Díaz Medicina Hernia Ventral Abdominal Laparoscopy Incisional Hernia Laparoscopic Management of Ventral Hernias by Totally Extraperitoneal (eTEP) Approach: Initial Experience and Short-Term Results Jeancarlos Jhosmer Trujillo-Díaz Juan Ramón Gómez-López Pilar Concejo-Cutoli Clara Martínez-Moreno Javier Atienza- Herrero Juan Carlos Martín-del Olmo Medicina Hernia Ventral Abdominal Laparoscopy Incisional Hernia Introduction. Managing ventral hernia remains a challenge for surgeons. Repairing it using minimally invasive techniques, such as laparoscopic totally extraperitoneal (eTEP), which allows for a wide dissection of the space to be repaired, faster postoperative recovery, less postoperative pain and shorter hospital stay. The eTEP approach is a novel technique that focus on the uses of the retromuscular space to place prosthetic material and strengthen the abdominal wall. The objective is to describe the short-term results of our initial experience with the eTEP technique in the management of ventral hernias. Methodology. Observational, descriptive, retrospective, study, which included patients with a diagnosis of ventral hernia, undergoing laparoscopic eTEP surgery, between July-2021 and June-2022. Results. Of a total of 21 patients, 61.9% were men. 47.6% were overweight and 52.4% were obese. Average hospital stay: 1.6 days. 66.7% were incisional hernias. The surgical techniques performed were: Rives-Stoppa (71.4%) with associated transversus abdominis muscle release in 28.6%. 19% of the patients presented global complications and only one was severe, requiring surgical reintervention. The presence of clinical seroma was observed in 9.5% and ultrasound in 57.1%. There was no evidence of hematomas, surgical wound infection or cases of hernia recurrence. Discussion and conclusions. The laparoscopic-eTEP Rives-Stoppa approach, associated or not with posterior separation of components, in the management of ventral hernias offers good results with a low incidence of postoperative complications, short hospital stay, low incidence of hernia recurrences, so it could be considered a safe and effective technique in the treatment of ventral hernias. 2022 artículo científico 0123-7047 https://www.redalyc.org/articulo.oa?id=71975382017 https://www.redalyc.org/journal/719/71975382017/ https://www.redalyc.org/journal/719/71975382017/html/ https://www.redalyc.org/journal/719/71975382017/71975382017.epub https://www.redalyc.org/journal/719/71975382017/movil https://doi.org/10.29375/01237047.4491 en http://www.redalyc.org/revista.oa?id=719 MedUNAB application/pdf Universidad Autónoma de Bucaramanga MedUNAB (Colombia) Num.3 Vol.25 |
| title | Laparoscopic Management of Ventral Hernias by Totally Extraperitoneal (eTEP) Approach: Initial Experience and Short-Term Results |
| topic | Medicina Hernia Ventral Abdominal Laparoscopy Incisional Hernia |
| url | https://www.redalyc.org/articulo.oa?id=71975382017 https://www.redalyc.org/journal/719/71975382017/ https://www.redalyc.org/journal/719/71975382017/html/ https://www.redalyc.org/journal/719/71975382017/71975382017.epub https://www.redalyc.org/journal/719/71975382017/movil https://doi.org/10.29375/01237047.4491 |