Anzeige
20.04.2020 | Original Article
Endoscopic Pre-aponeurotic Repair (EPAR) Technique with Meshplasty for Treatment of Ventral Hernia and Rectus Abdominis Diastasis
Erschienen in: Indian Journal of Surgery
Einloggen, um Zugang zu erhaltenAbstract
Incisional hernia is one of the most common surgical complications after surgery with an incidence of 10–20%. A total of 33–78% of patients with ventral and incisional hernias are symptomatic for their condition while 5 to 14% develop complications such as incarceration, obstruction, and strangulation. Minimally invasive techniques have gained preference over open techniques in view of decreased morbidity and lower recurrence rates. In this article, we describe our experience of endoscopic pre-aponeurotic repair—a minimally invasive technique for ventral and incisional hernia repair at a tertiary care centre in India. Patients presenting with primary ventral or incisional hernia with concomitant rectus abdominis diastasis were included in the study. This study was conducted between July 2016 and July 2018 and included 38 patients. These patients were operated by endoscopic pre-aponeurotic repair technique. The mean operative time was 85 min with no intra-operative complications and zero conversion rate to open surgery. Seroma and umbilical dermal ischaemia were the only complications, which were managed conservatively. The endoscopic pre-aponeurotic repair technique is a safe and effective alternative for treating patients diagnosed to have ventral hernia with rectus abdominis diastasis.