Stapler-assisted endoscopic mini- or less-open sublay technique: How do I do it?

IF 1.1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2025-07-22 DOI:10.4103/jmas.jmas_137_25

Alaa Zahalka, Fahim Kanani, Wasim Shaqqur, Asad Asem, Ronit Bar-Haim, Arkadiy Iskhakov, Katia Dayan

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引用次数: 0

Abstract

Background: This study evaluates the clinical efficacy of the endoscopic mini- or less-open sublay (EMILOS) technique with stapler-assisted fascial closure for ventral hernia repair.

Materials and methods: Twelve patients underwent EMILOS with stapler-assisted fascial closure between July 2022 and August 2024 with a mean follow-up of 12.4 months.

Results: The cohort (7 females and 5 males; mean age: 58.9 ± 16.3 years and body mass index: 27.8 ± 3.5 kg/m²) underwent repair for various ventral hernias (mean defect: 4.9 cm × 5.2 cm). The mean operative time was 95 min. Complications included seroma (17%), surgical site infection (8%) and small bowel obstruction requiring reoperation (8%). The hernia recurrence rate was 8%. Patients reporting excellent quality of life increased from 17% preoperatively to 50% postoperatively.

Conclusions: EMILOS with stapler-assisted closure offers a safe, efficient approach with favourable short-term outcomes, particularly for obese patients and medium-sized hernias. The technique combines enhanced visualisation with efficient fascial closure, yielding an 8% recurrence rate that compares favourably with alternatives. Larger studies with extended follow-up are needed to establish long-term efficacy.

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订书机辅助内镜微创或不太开放的内镜下技术：我该怎么做？

背景：本研究评估内镜下小或少开放下疝（EMILOS）技术联合吻合器辅助筋膜闭合治疗腹疝的临床疗效。材料与方法：2022年7月至2024年8月，12例患者行EMILOS联合订书机辅助筋膜闭合，平均随访12.4个月。结果：队列(女性7人，男性5人；平均年龄：58.9±16.3岁，体重指数：27.8±3.5 kg/m²)行各种腹疝修补术（平均缺损：4.9 cm × 5.2 cm）。平均手术时间为95分钟。并发症包括血肿（17%）、手术部位感染（8%）和需要再次手术的小肠阻塞（8%）。疝复发率为8%。报告良好生活质量的患者从术前的17%增加到术后的50%。结论：EMILOS吻合器辅助闭合提供了一种安全、有效的方法，具有良好的短期效果，特别是对于肥胖患者和中等疝气患者。该技术结合了增强的视觉效果和有效的筋膜闭合，与其他方法相比，复发率为8%。需要更大规模的长期随访研究来确定长期疗效。

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

Journal of Minimal Access Surgery SURGERY-

CiteScore

1.70

自引率

0.00%

发文量

151

审稿时长

36 weeks

期刊介绍： Journal of Minimal Access Surgery (JMAS), the official publication of Indian Association of Gastrointestinal Endo Surgeons, launched in early 2005. The JMAS, a quarterly publication, is the first English-language journal from India, as also from this part of the world, dedicated to Minimal Access Surgery. The JMAS boasts an outstanding editorial board comprising of Indian and international experts in the field.