Laparoscopic transabdominal preperitoneal approach for umbilical hernia with rectus diastasis
| Autor: | Sante Capitano |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Composite mesh General Medicine medicine.disease Umbilical hernia Surgery 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis medicine Diastasis 030211 gastroenterology & hepatology Hernia business Reduction (orthopedic surgery) Transabdominal preperitoneal |
| Zdroj: | Asian Journal of Endoscopic Surgery. 10:334-335 |
| ISSN: | 1758-5902 |
| DOI: | 10.1111/ases.12365 |
| Popis: | Introduction Rectus diastasis, when coexistent with umbilical hernia, can benefit from mesh-based repair of the midline. Laparoscopic correction of an umbilical hernia involves the placement of a mesh in the peritoneal cavity, but this comes with the risk of bowel complications. However, newly developed dual-sided composite meshes have helped to reduce this risk. Materials and Surgical Technique Four men and three women with umbilical hernia and rectus diastasis were treated with laparoscopic transabdominal preperitoneal repair. Composite mesh with a hydrophilic 3-D polyester textile on the parietal side and an absorbable collagen barrier on the peritoneal side were placed in the preperitoneal pocket after hernial sac reduction. Mean hernia size was 2.5 cm, and no recurrences were observed during the mean follow-up period of 9.2 months. Discussion The laparoscopic transabdominal preperitoneal approach for umbilical hernia and rectus diastasis may be a safe surgical option when trying to avoid potential complications related to intra-abdominal mesh positioning. |
| Databáze: | OpenAIRE |
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