Répertoire de l'Université Alfonso X el Sabio

Extended Totally Extraperitoneal (eTEP) Approach for Ventral Hernia Repair: Initial Results

Afficher la notice abrégée

APA

Salido Fernandez, Sergio & Fraile Vilarrasa, Maria & Osorio Silla, Irene & Georgiev Hristov, Tihomir & Bernar de Oriol, Juan & González Ayora, Santiago & Pardo García, Ricardo & Guadalajara Labajo, Hector (2020-05 ) .Extended Totally Extraperitoneal (eTEP) Approach for Ventral Hernia Repair: Initial Results.

ISO 690

Salido Fernandez, Sergio & Fraile Vilarrasa, Maria & Osorio Silla, Irene & Georgiev Hristov, Tihomir & Bernar de Oriol, Juan & González Ayora, Santiago & Pardo García, Ricardo & Guadalajara Labajo, Hector. 2020-05 .Extended Totally Extraperitoneal (eTEP) Approach for Ventral Hernia Repair: Initial Results.

https://hdl.handle.net/20.500.12080/39599
dc.contributor.author Salido Fernandez, Sergio
dc.contributor.author Fraile Vilarrasa, Maria
dc.contributor.author Osorio Silla, Irene
dc.contributor.author Georgiev Hristov, Tihomir
dc.contributor.author Bernar de Oriol, Juan
dc.contributor.author González Ayora, Santiago
dc.contributor.author Pardo García, Ricardo
dc.contributor.author Guadalajara Labajo, Hector
dc.date.accessioned 2024-02-08T14:33:33Z
dc.date.available 2024-02-08T14:33:33Z
dc.date.created 2020-05
dc.date.issued 2020-05
dc.identifier.uri https://hdl.handle.net/20.500.12080/39599
dc.description.abstract Introduction: Since the first laparoscopic incisional hernia repair, several minimally invasive procedures have been developed in abdominal wall repair. In 2017, the extended totally extraperitoneal (eTEP) approach for abdominal wall repair was published. We present the results from eTEP implementation at two medical centers by one surgeon. Methods: Prospective descriptive study of the implementation of the eTEP approach, with transversus abdominis release (TAR) when needed. The surgical technique was initiated by accessing the space between the rectus abdominis muscle and posterior rectus sheath, connecting this space with the fatty preperitoneal space at the midline and the contralateral retrorectal space. Identification and dissection of the hernia sac is performed in the created cavity. Additionally, posterior component release in a TAR fashion could be done. Finally, closure of posterior plane and linea alba is completed and mesh prosthesis is deployed along the whole dissected space. Results: Forty patients underwent an eTEP procedure with 20 supraumbilical defects, 10 infraumbilical and 10 lateral hernias. Sixteen cases required a TAR technique. Mean operative time was 126 min. Median pain reported the first postoperative day was 3 on the visual analog scale. Median length of stay was 1 day and mean follow-up was 10 months. Only one patient developed recurrence, and two patients underwent reoperation. Conclusions: Implementation of eTEP in abdominal wall repair is safe. Preliminary outcomes of the eTEP approach in ventral hernia repair show good pain control with less hospital stay. es_ES
dc.format application/pdf es_ES
dc.language eng es_ES
dc.rights CC-BY es_ES
dc.rights.uri http://creativecommons.org/licenses/by/4.0/deed.es es_ES
dc.title Extended Totally Extraperitoneal (eTEP) Approach for Ventral Hernia Repair: Initial Results es_ES
dc.type info:eu-repo/semantics/article es_ES
dc.rights.accessrights info:eu-repo/semantics/restrictedAccess es_ES
dc.identifier.location N/A es_ES


Fichier(s) constituant ce document

Ce document figure dans la(les) collection(s) suivante(s)

Afficher la notice abrégée

CC-BY Excepté là où spécifié autrement, la license de ce document est décrite en tant que CC-BY

Chercher dans le dépôt


Parcourir

Mon compte

Social Media