General and Abdominal Surgery, Imelda Hospital, Bonheiden, Belgium.
Department of Gynaecology, Imelda Hospital, Bonheiden, Belgium.
Surg Innov. 2024 Dec;31(6):627-629. doi: 10.1177/15533506241289482. Epub 2024 Oct 4.
Ventral hernia repair is a commonly performed operation and can be executed by open or laparoscopic approach. The search for even less invasive techniques continues. Natural orifice transluminal endoscopic surgery (NOTES) is a known method of minimally invasive surgery.
We performed an epigastric ventral hernia repair through vaginal NOTES during a concurrent hysterectomy and bilateral salpingectomy. We used the access to do a synchronous hernia repair with mesh augmentation. The technique of repair was identical to the laparoscopic intraperitoneal onlay mesh repair (Lap. IPOM).
We reported a sufficient hernia repair without intra-operative complications. Also, post-operatively, no problems were encountered. Follow-up after 4 weeks showed a good and strong hernia repair. The complaints of the patient were relieved. CT scan 10 months after operation showed no recurrence nor signs of mesh infection.
Ventral hernia repair through vaginal NOTES can be considered a possible new and minimal invasive (scarless) technique for ventral hernia repair but further investigations on a larger scale are needed to confirm feasibility & safety.
腹疝修补术是一种常见的手术，可以通过开放或腹腔镜方法进行。人们一直在寻找更微创的技术。经自然腔道内镜手术（NOTES）是一种已知的微创手术方法。
我们在同期子宫切除术和双侧输卵管切除术期间通过阴道NOTES 进行了上腹部腹疝修补术。我们利用该通道进行了同步疝修补和网片增强。该修复技术与腹腔镜腹腔内补片修补术（Lap. IPOM）相同。
我们报告了一种没有术中并发症的充分疝修复。此外，术后也没有遇到任何问题。4 周后的随访显示疝修复良好且牢固。患者的抱怨得到了缓解。术后 10 个月的 CT 扫描显示无复发或网片感染迹象。
经阴道 NOTES 进行腹疝修补术可以被认为是一种新的微创（无疤痕）腹疝修补术方法，但需要进行更大规模的进一步研究以确认其可行性和安全性。
