内镜定位下由内向外穿刺——一种在完全腹膜外修补术（eTEP）中插入端口并创建肌后间隙以治疗腹疝的新技术。
Inside to outside puncture following endoscopic localization-A novel technique to insert ports and create retromuscular space in eTEP for ventral hernias.
作者信息
Zhao F
机构信息
Second Department of General Surgery, Dehong People's Hospital, Affiliated Dehong People's Hospital of Kunming Medical University, Dehong, China.
出版信息
Hernia. 2024 Feb;28(1):255-259. doi: 10.1007/s10029-023-02744-9. Epub 2023 Jan 25.
PURPOSE
Enhanced-view totally extraperitoneal plasty (eTEP) has been used worldwide to repair ventral hernias. This study aimed to describe a novel technique to insert ports and create retromuscular space in more detail.
METHODS
From 2020 to 2022, 23 consecutive ventral hernia repairs were performed using the eTEP technique. In all cases, inside-to-outside puncture following endoscopic localization was utilized to insert ports and create retromuscular space.
RESULTS
All cases were completed with the eTEP technique, and no cases with conversion to open repair or IPOM technique. There were no epigastric vessel injuries and posterior sheath tears due to puncture. In addition, no postoperative hematoma cases were reported.
CONCLUSION
Inside-to-outside puncture following endoscopic localization to insert ports and create retromuscular space is a safe, feasible, reproducible technique in eTEP for ventral hernia repair.
目的
增强视野完全腹膜外修补术（eTEP）已在全球范围内用于修复腹疝。本研究旨在更详细地描述一种插入端口和创建肌后间隙的新技术。
方法
2020年至2022年，连续23例腹疝修补术采用eTEP技术。所有病例均在内镜定位后采用由内向外穿刺来插入端口并创建肌后间隙。
结果
所有病例均采用eTEP技术完成，无转为开放修补或腹腔内补片修补术（IPOM）技术的病例。无因穿刺导致的腹壁血管损伤和后鞘撕裂。此外，未报告术后血肿病例。
结论
在内镜定位后由内向外穿刺以插入端口并创建肌后间隙，在eTEP腹疝修补术中是一种安全、可行、可重复的技术。
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