Epigastric Ventral Hernia Repair Through Vaginal Natural Orifice Transluminal Endoscopic Surgery.

IF 1.2 4区医学 Q3 SURGERY

Surgical Innovation Pub Date : 2024-12-01 Epub Date: 2024-10-04 DOI:10.1177/15533506241289482

Vancanneyt N, Tollens T, Baekelandt J

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引用次数: 0

Abstract

Objective: Ventral hernia repair is a commonly performed operation and can be executed by open or laparoscopic approach. The search for even less invasive techniques continues. Natural orifice transluminal endoscopic surgery (NOTES) is a known method of minimally invasive surgery.

Methods: We performed an epigastric ventral hernia repair through vaginal NOTES during a concurrent hysterectomy and bilateral salpingectomy. We used the access to do a synchronous hernia repair with mesh augmentation. The technique of repair was identical to the laparoscopic intraperitoneal onlay mesh repair (Lap. IPOM).

Results: We reported a sufficient hernia repair without intra-operative complications. Also, post-operatively, no problems were encountered. Follow-up after 4 weeks showed a good and strong hernia repair. The complaints of the patient were relieved. CT scan 10 months after operation showed no recurrence nor signs of mesh infection.

Conclusions: Ventral hernia repair through vaginal NOTES can be considered a possible new and minimal invasive (scarless) technique for ventral hernia repair but further investigations on a larger scale are needed to confirm feasibility & safety.

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通过阴道自然腔道经腔内窥镜手术修复上腹腹股沟疝。

目的：腹股沟疝修补术是一种常见的手术，可通过开腹或腹腔镜方法进行。人们一直在寻找创伤更小的技术。自然腔道内窥镜手术（NOTES）是一种已知的微创手术方法：方法：我们在同时进行子宫切除术和双侧输卵管切除术时，通过阴道 NOTES 进行了上腹部腹股沟疝修补术。我们利用该通道进行了同步疝修补术，并进行了网片增强。修补技术与腹腔镜腹膜内网片修补术（Lap. IPOM）相同：结果：我们报告了充分的疝修补术，术中无并发症。此外，术后也没有出现任何问题。4 周后的随访显示，疝修补效果良好且牢固。患者的主诉得到了缓解。术后 10 个月的 CT 扫描显示没有复发，也没有网片感染的迹象：结论：通过阴道 NOTES 进行腹股沟疝修补术可被视为一种新的微创（无疤痕）腹股沟疝修补术，但还需要进行更大规模的调查，以确认其可行性和安全性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Innovation 医学-外科

CiteScore

2.90

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).