增强视野完全腹膜外方法：腹腔镜腹膜内网片加修补术后复发切口疝的最佳选择。

IF 1 4区医学 Q3 SURGERY

Journal of Minimal Access Surgery Pub Date : 2024-10-09 DOI:10.4103/jmas.jmas_152_24

K Ganesh Shenoy

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引用次数: 0

摘要

摘要：腹腔镜腹膜内嵌网（IPOM）加术后复发切口疝（RIH）的可选项包括开放式嵌网修补术、开放式Rives-Stoppa（RS）、腹腔镜增强视野完全腹膜外-RS（ETEP-RS）和腹腔镜皮下嵌网修补术。这些 RIH 大多采用开放式网片修复术或腹腔镜重做 IPOM plus。文献中关于 ETEP 方法治疗前次 IPOM plus 后在直肠后间隙放置网片的 RIH 的数据并不多。在本文中，我将与大家分享在既往 IPOM plus 修补术后对 RIH 进行 ETEP 的技术方面、面临的挑战以及克服这些挑战的技巧。

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Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs.

Abstract: The available options for recurrent incisional hernias (RIH) following previous laparoscopic intraperitoneal onlay mesh (IPOM) plus were open onlay repair, open Rives-Stoppa (RS), laparoscopic enhanced view totally extraperitoneal-RS (ETEP-RS) and laparoscopic subcutaneous onlay mesh repair. Majority of these RIH were managed by open onlay mesh repairs or laparoscopic Redo IPOM plus. There are not much data available in the literature on the ETEP approach for RIH following previous IPOM plus with the placement of mesh in the retrorectus space. In this article, I would like to share technical aspects, challenges faced and tips to overcome these challenges of performing ETEP for RIH following previous IPOM plus repairs.

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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.