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eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect?

INTRODUCTION: Incisional hernias can complicate up to 25% of laparotomies, and successful repair remains a significant clinical challenge for surgeons. Recently, the surgical technique of ventral hernia repair (eTEP-RS) has been introduced. The method was presented relatively recently and continues...

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Autores principales: Mitura, Kryspin, Romańczuk, Michał, Kisielewski, Krystian, Mitura, Bernard
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181889/
https://www.ncbi.nlm.nih.gov/pubmed/35680666
http://dx.doi.org/10.1007/s00464-022-09365-w
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author Mitura, Kryspin
Romańczuk, Michał
Kisielewski, Krystian
Mitura, Bernard
author_facet Mitura, Kryspin
Romańczuk, Michał
Kisielewski, Krystian
Mitura, Bernard
author_sort Mitura, Kryspin
collection PubMed
description INTRODUCTION: Incisional hernias can complicate up to 25% of laparotomies, and successful repair remains a significant clinical challenge for surgeons. Recently, the surgical technique of ventral hernia repair (eTEP-RS) has been introduced. The method was presented relatively recently and continues to evolve. The use of a robotic platform in eTEP-RS resulted in a significant improvement in ergonomics. Therefore, the questions arise as to whether the laparoscopic technique might still be feasible for such long procedures. The objective of this study is to present our early results in the treatment of patients with incisional ventral hernias using eTEP-RS and to discuss key technical aspects. PATIENTS AND METHODS: A prospective case-controlled study was conducted for all incisional ventral hernia patients (hernia orifice between 4 and 10 cm) who underwent eTEP-RS between March 2019 and December 2021. Demographic data were recorded; and perioperative and postoperative results were analyzed. RESULTS: We performed 34 eTEP-RS procedures. The mean duration of the surgery was 211 min (145–295). The mean width of the defect was 6.8 cm and the defect area was 42.5 cm(2). The mean mesh size was 498 cm(2) (270–625). After an average follow-up of 16 months (2–30), there was no recurrence or major complication. CONCLUSIONS: The eTEP-RS is a safe alternative to open ventral hernia repair in selected cases and allows for the placement of a large piece of mesh in accordance with current recommendations, even in non-robotic centers. Excellent knowledge of the detailed anatomy of the abdominal wall is essential for safe and effective hernia repair. Compliance with certain rules of the laparoscopic eTEP-RS facilitates improved ergonomics for this procedure even in non-robotic centers.
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spelling pubmed-91818892022-06-10 eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect? Mitura, Kryspin Romańczuk, Michał Kisielewski, Krystian Mitura, Bernard Surg Endosc 2022 SAGES Oral INTRODUCTION: Incisional hernias can complicate up to 25% of laparotomies, and successful repair remains a significant clinical challenge for surgeons. Recently, the surgical technique of ventral hernia repair (eTEP-RS) has been introduced. The method was presented relatively recently and continues to evolve. The use of a robotic platform in eTEP-RS resulted in a significant improvement in ergonomics. Therefore, the questions arise as to whether the laparoscopic technique might still be feasible for such long procedures. The objective of this study is to present our early results in the treatment of patients with incisional ventral hernias using eTEP-RS and to discuss key technical aspects. PATIENTS AND METHODS: A prospective case-controlled study was conducted for all incisional ventral hernia patients (hernia orifice between 4 and 10 cm) who underwent eTEP-RS between March 2019 and December 2021. Demographic data were recorded; and perioperative and postoperative results were analyzed. RESULTS: We performed 34 eTEP-RS procedures. The mean duration of the surgery was 211 min (145–295). The mean width of the defect was 6.8 cm and the defect area was 42.5 cm(2). The mean mesh size was 498 cm(2) (270–625). After an average follow-up of 16 months (2–30), there was no recurrence or major complication. CONCLUSIONS: The eTEP-RS is a safe alternative to open ventral hernia repair in selected cases and allows for the placement of a large piece of mesh in accordance with current recommendations, even in non-robotic centers. Excellent knowledge of the detailed anatomy of the abdominal wall is essential for safe and effective hernia repair. Compliance with certain rules of the laparoscopic eTEP-RS facilitates improved ergonomics for this procedure even in non-robotic centers. Springer US 2022-06-09 2023 /pmc/articles/PMC9181889/ /pubmed/35680666 http://dx.doi.org/10.1007/s00464-022-09365-w Text en © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle 2022 SAGES Oral
Mitura, Kryspin
Romańczuk, Michał
Kisielewski, Krystian
Mitura, Bernard
eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect?
title eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect?
title_full eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect?
title_fullStr eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect?
title_full_unstemmed eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect?
title_short eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect?
title_sort etep-rs for incisional hernias in a non-robotic center. is laparoscopy enough to perform a durable mis repair of the abdominal wall defect?
topic 2022 SAGES Oral
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9181889/
https://www.ncbi.nlm.nih.gov/pubmed/35680666
http://dx.doi.org/10.1007/s00464-022-09365-w
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