Abdalla Ricardo Zugaib, Garcia Rodrigo Biscuola, da Costa Rafael Izar Domingues, Abdalla Beatrice Martinez Zugaib
Arq Bras Cir Dig. 2013 Nov-Dec;26(4):335-7. doi: 10.1590/s0102-67202013000400016.
Minimally invasive videosurgery has modified anatomy dissection of diseases that are treated operatively. However, the benefit of this method has been delayed due to the lack of development of technologies and articulated movements for the abdominal wall, demanding the need for investments and time for solidification. This approach to repair the abdominal wall is based on the Rives-Stoppa principles.
With the patient in supine position, a small supra pubic incision is done and the pre-peritoneal space is achieved and inflated. After the trocars are placed, the peritoneal sac is dissected and the abdominal cavity is entered, above the arcuate line. The posterior rectus sheath is liberated and a linear stapler is placed in both sides and fired, creating a midline and a retromuscular space, where the mesh is placed and fixed.
The method is feasible, easy to perform, reproducible, saves time and with a good functional result.
微创视频手术改变了可手术治疗疾病的解剖学分离方式。然而，由于腹壁技术和关节运动发展不足，这种方法的益处被延迟了，这需要投资和时间来巩固。这种修复腹壁的方法基于里夫斯 - 斯托帕原则。
患者仰卧位，在耻骨上做一个小切口，进入并扩张腹膜前间隙。放置套管针后，解剖腹膜囊并进入腹腔，在弓状线以上。游离腹直肌后鞘，在两侧放置线性缝合器并击发，形成中线和肌后间隙，将补片放置并固定于此。
该方法可行，操作简便，可重复，节省时间，功能效果良好。
