Endoscopic trans-abdominal sublay repair for the surgical treatment of ventral hernia

doi:10.3877/cma.j.issn.1674-6899.2020.04.005

Abstract

Abstract:

Objective

This study was undertaken to evaluate the feasibility, safety and effectiveness of TAS(transabdominal sublay) repair for ventral hernia. Its critical surgical skills and indications are also summarized from the preliminary practice.

Methods

This retrospective study reviews 21 cases with small-to-median primary ventral or incisional hernias performed with TAS repair from 4 Chinese hospitals between May 2016 and May 2019. Patient demographics, hernia characteristics, operative variables and surgical results were recorded and analyzed.

Results

In 21 cases, TAS repair was implemented successfully in 19 cases; in the other two cases, the repairs were completed by transferring to other procedures. The median operation during was 120 min. The most majority of the patients had only mild pain at 48 h post-operation. No severe intraoperative and postoperative complication occurred. Seroma was the most frequent complication (15.8%) and all absorbed in six months. There was one recurrence.

Conclusions

TAS repair is feasible, safe and effective for the treatment of small-medium primary ventral and incisional hernias. But the procedure takes long time and the surgeons need more patience and skills. However, the successful implement of TAS repair avoids placing the mesh in the abdominal cavity and brings quick postoperative recovery.

Key words: Ventral hernia, Endoscopic sublay repair, Trans-abdominal sublay, Indication

Rui Tang, Weidong Wu, Huiyong Jiang, Xiaoqiang Zhu, Nan Liu, Tao Wang. Endoscopic trans-abdominal sublay repair for the surgical treatment of ventral hernia[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2020, 13(04): 212-217.

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