Ten golden rules for a safe MIS inguinal hernia repair using a new anatomical concept as a guide
| Autor: | Leandro Totti Cavazzola, Edward L. Felix, Christiano Marlo Paggi Claus, Marcelo Lopes Furtado, Flavio Malcher |
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| Rok vydání: | 2019 |
| Předmět: |
Natural Orifice Endoscopic Surgery
medicine.medical_specialty Inverted Y medicine.medical_treatment Hernia Inguinal Groin 03 medical and health sciences 0302 clinical medicine Robotic Surgical Procedures medicine Humans Laparoscopy Laparoscopic cholecystectomy Herniorrhaphy medicine.diagnostic_test business.industry Vantage point General surgery medicine.disease Hernia repair Inguinal hernia surgical procedures operative medicine.anatomical_structure Cholecystectomy Laparoscopic 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery business |
| Zdroj: | Surgical endoscopy. 34(4) |
| ISSN: | 1432-2218 |
| Popis: | Although laparoscopic inguinal hernia repair was described about 30 years ago and advantages of the technique have been demonstrated, the utilization of this approach has not been what we would expect. Some reasons may be the need for surgeons to understand the posterior anatomy of the groin from a new vantage point, as well as to acquire advanced laparoscopic skills. Recently, however, the introduction of a robotic approach has dramatically increased the adoption of minimally invasive techniques for inguinal hernia repair. Important recent contributions to this evolution have been the establishment of a new concept known as the critical view of the Myopectineal Orifice (MPO) and the description of a new way of understanding the posterior view of the antomy of the groin (inverted Y and the five triangles). In this paper, we describe 10 rules for a safe MIS inguinal hernia repair (TAPP, TEP, ETEP, RTAPP) that combines these two new concepts in a unique way. As the critical view of safety has made laparoscopic cholecystectomy safer, we feel that following our ten rules based on understanding the anatomy of the posterior groin as defined by zones and essential triangles and the technical steps to achieve the critical view of the MPO will foster the goal of safe MIS hernia repair, no matter which minimally invasive technique is employed. |
| Databáze: | OpenAIRE |
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