Radu Victor G
Department of General Surgery, Medlife Medical Park Hospital, Bucharest, Romania.
J Abdom Wall Surg. 2025 Feb 12;4:14072. doi: 10.3389/jaws.2025.14072. eCollection 2025.
The development of minimally invasive surgical techniques for ventral hernias has significantly progressed, evolving from IPOM and IPOM + to advancements like eTEP/eTEP-TAR. These newer techniques have demonstrated their effectiveness by delivering excellent postoperative outcomes, despite being introduced less than a decade ago. Recreating traditional procedures, which are considered the "gold standard" in ventral hernia surgery, through minimally invasive methods-such as the Rives-Stoppa repair-could represent the next frontier in abdominal wall surgery. This publication focuses on replicating ventral incisional hernia repair using an extraperitoneal approach, as outlined by Todd Heniford, and taking inspiration from the PeTEP technique for primary ventral hernias, whether associated with diastasis recti or not, as described by Hector Valenzuela.
腹侧疝微创手术技术取得了显著进展,从腹腔内补片植入修补术(IPOM)和IPOM + 发展到如完全腹膜外腹腔镜疝修补术(eTEP)/eTEP联合腹膜前修补术(eTEP-TAR)等先进技术。尽管这些新技术问世还不到十年,但已通过出色的术后效果证明了其有效性。通过微创方法重现被视为腹侧疝手术“金标准”的传统手术,如里夫斯 - 斯托帕修补术,可能代表腹壁手术的下一个前沿领域。本出版物重点关注采用经腹膜外入路复制腹侧切口疝修补术,这是托德·赫尼福德所概述的,并从赫克托·巴伦苏埃拉所描述的用于原发性腹侧疝(无论是否伴有腹直肌分离)的经皮腹膜外疝修补术(PeTEP)技术中汲取灵感。