e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases.


Journal

Case reports in surgery
ISSN: 2090-6900
Titre abrégé: Case Rep Surg
Pays: United States
ID NLM: 101580191

Informations de publication

Date de publication:
2019
Historique:
received: 21 01 2019
revised: 28 05 2019
accepted: 17 06 2019
entrez: 10 8 2019
pubmed: 10 8 2019
medline: 10 8 2019
Statut: epublish

Résumé

Recurrent incisional hernias are difficult to treat. There are many factors involved in the recurrence, and due to extensive dissections, the planes are fused with adhesions, and we may need a new plane for dissection and placement of meshes. We report here three cases of recurrent incisional hernias which were dealt by a relatively new method to laparoscopy: the enhanced view totally extraperitoneal repair (e-TEP) retromuscular technique. There were three patients: one after an open onlay repair of lower midline incision, another after an onlay mesh repair of a subcostal incision for open cholecystectomy followed by an intraperitoneal onlay mesh hernioplasty (IPOM) repair, and another after IPOM repair of epigastric hernia. They were treated with the abovementioned technique with satisfying short-term results. The e-TEP technique is a relatively new method of providing minimal access surgery to these patients utilizing the previously unaccessed retromuscular (Rives and/or preperitoneal) space for the repair of these recurrent incisional hernias.

Identifiants

pubmed: 31396430
doi: 10.1155/2019/1609193
pmc: PMC6664569
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1609193

Déclaration de conflit d'intérêts

The authors declare that there are no conflicts of interest regarding the publication of this paper.

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Auteurs

Vikal Chandra Shakya (VC)

Department of Surgery, Civil Service Hospital, Kathmandu, Nepal.

Bikram Byanjankar (B)

Department of Surgery, Civil Service Hospital, Kathmandu, Nepal.

Rabin Pandit (R)

Department of Surgery, Civil Service Hospital, Kathmandu, Nepal.

Anang Pangeni (A)

Department of Surgery, Civil Service Hospital, Kathmandu, Nepal.

Anir Ram Moh Shrestha (ARM)

Department of Surgery, Civil Service Hospital, Kathmandu, Nepal.

Classifications MeSH