Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description
ABSTRACT Incisional hernia is a late complication of the most frequent after abdominal surgeries, with resulting morbidity that can worsen the condition. The treatment has been done both by open techniques, using screens or not, and by laparoscopic and robotic methods, which use them systematically. However, introducing a permanent foreign body into the tissues requires more surgical time, despite not closing the parietal defect in most cases and a higher risk of infections. New technologies have been trying to improve these results, with absorbable prostheses (biological or synthetic), but their high cost and recurrences remain a severe problem. Even so, standard repair establishes reinforcement with screens, routine, and whether the approach is traditional or mini-invasive. The authors report their first case of endoscopic repair of incisional hernia, which occurred two years ago, with a Brazilian technique already fifty years old: the transposition with the hernia sac proposed by Prof. Alcino Lázaro da Silva in 1971.
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Colégio Brasileiro de Cirurgiões
2021
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oai:scielo:S0100-699120210001006012021-03-05Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical descriptionDA-SILVA,LEONARDO EMILIOMELO,RENATO MIRANDA DE Laparoscopy Hernia, Ventral Bioprosthesis Peritoneum Herniorrhaphy ABSTRACT Incisional hernia is a late complication of the most frequent after abdominal surgeries, with resulting morbidity that can worsen the condition. The treatment has been done both by open techniques, using screens or not, and by laparoscopic and robotic methods, which use them systematically. However, introducing a permanent foreign body into the tissues requires more surgical time, despite not closing the parietal defect in most cases and a higher risk of infections. New technologies have been trying to improve these results, with absorbable prostheses (biological or synthetic), but their high cost and recurrences remain a severe problem. Even so, standard repair establishes reinforcement with screens, routine, and whether the approach is traditional or mini-invasive. The authors report their first case of endoscopic repair of incisional hernia, which occurred two years ago, with a Brazilian technique already fifty years old: the transposition with the hernia sac proposed by Prof. Alcino Lázaro da Silva in 1971.info:eu-repo/semantics/openAccessColégio Brasileiro de CirurgiõesRevista do Colégio Brasileiro de Cirurgiões v.48 20212021-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100601en10.1590/0100-6991e-20202672 |
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DA-SILVA,LEONARDO EMILIO MELO,RENATO MIRANDA DE |
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DA-SILVA,LEONARDO EMILIO MELO,RENATO MIRANDA DE Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description |
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DA-SILVA,LEONARDO EMILIO MELO,RENATO MIRANDA DE |
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DA-SILVA,LEONARDO EMILIO |
title |
Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description |
title_short |
Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description |
title_full |
Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description |
title_fullStr |
Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description |
title_full_unstemmed |
Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description |
title_sort |
endoscopic transposition with the hernial sac (eths) in ventral hernia repair - technical description |
description |
ABSTRACT Incisional hernia is a late complication of the most frequent after abdominal surgeries, with resulting morbidity that can worsen the condition. The treatment has been done both by open techniques, using screens or not, and by laparoscopic and robotic methods, which use them systematically. However, introducing a permanent foreign body into the tissues requires more surgical time, despite not closing the parietal defect in most cases and a higher risk of infections. New technologies have been trying to improve these results, with absorbable prostheses (biological or synthetic), but their high cost and recurrences remain a severe problem. Even so, standard repair establishes reinforcement with screens, routine, and whether the approach is traditional or mini-invasive. The authors report their first case of endoscopic repair of incisional hernia, which occurred two years ago, with a Brazilian technique already fifty years old: the transposition with the hernia sac proposed by Prof. Alcino Lázaro da Silva in 1971. |
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Colégio Brasileiro de Cirurgiões |
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2021 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-69912021000100601 |
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AT dasilvaleonardoemilio endoscopictranspositionwiththehernialsacethsinventralherniarepairtechnicaldescription AT melorenatomirandade endoscopictranspositionwiththehernialsacethsinventralherniarepairtechnicaldescription |
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