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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.

DOI:10.1007/s10029-023-02744-9
PMID:36697771
Abstract

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.

摘要

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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本文引用的文献

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Signs and landmarks in eTEP Rives-Stoppa repair of ventral hernias.eTEP Rives-Stoppa 修补术治疗腹疝的标志和标志物。
Hernia. 2021 Apr;25(2):545-550. doi: 10.1007/s10029-020-02216-4. Epub 2020 May 18.
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肋前自上而下的改良全腹膜外前入路腹外疝修补术(eTEP):简化复杂的技术方法。
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Endoscopic enhanced-view totally extraperitoneal retromuscular approach for ventral hernia repair.内镜增强视野完全腹膜外肌后入路治疗腹外疝。
Surg Endosc. 2019 Nov;33(11):3749-3756. doi: 10.1007/s00464-019-06669-2. Epub 2019 Jan 24.
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Totally endoscopic sublay (TES) repair for midline ventral hernia: surgical technique and preliminary results.全内镜下(TES)经腹横筋膜平面修补术治疗中线腹疝:手术技术与初步结果。
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Surg Endosc. 2018 Mar;32(3):1525-1532. doi: 10.1007/s00464-017-5840-2. Epub 2017 Sep 15.
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Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair.腹腔镜切口疝和腹疝修补术中筋膜缺损闭合的荟萃分析。
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Laparoscopic repair of ventral hernias: nine years' experience with 850 consecutive hernias.腹腔镜修补腹疝:850例连续腹疝的九年经验
Ann Surg. 2003 Sep;238(3):391-9; discussion 399-400. doi: 10.1097/01.sla.0000086662.49499.ab.
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Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings.使用膨体聚四氟乙烯进行腹腔镜下腹部切口疝修补术:初步结果。
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