Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo

El manejo de la hernia ventral sigue siendo un desafío para los cirujanos. Su reparación mediante técnicas mínimamente invasivas, como la totalmente extraperitoneal (eTEP) laparoscópica, permite una amplia disección del espacio a reparar, una recuperación postoperatoria más rápida, menor dolor posto...

Full description

Autores:: Trujillo Díaz, Jeancarlos Jhosmer
Gómez López, Juan Ramón
Concejo Cutoli, Pilar
Martínez Moreno, Clara
Atienza Herrero, Javier
Martín del Olmo, Juan Carlos

Tipo de recurso:: Article of investigation

Fecha de publicación:: 2023

Institución:: Universidad Autónoma de Bucaramanga - UNAB

Repositorio:: Repositorio UNAB

Idioma:: spa

id	UNAB2_e213241d5d0eab57bb400cd06aebc1eb
oai_identifier_str	oai:repository.unab.edu.co:20.500.12749/26080
network_acronym_str	UNAB2
network_name_str	Repositorio UNAB
repository_id_str
dc.title.spa.fl_str_mv	Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo
dc.title.translated.eng.fl_str_mv	Laparoscopic Management of Ventral Hernias by Totally Extraperitoneal (eTEP) Approach: Initial Experience and Short-Term Results
dc.title.translated.por.fl_str_mv	Manejo laparoscópico de hérnias ventrais usando uma abordagem totalmente extraperitoneal (eTEP): experiência inicial e resultados em curto prazo
title	Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo
spellingShingle	Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo Hernia Ventral Hernia Incisional Hernia Abdominal Laparoscopía Hernia Medical sciences Life sciences Hernia Ventral Incisional Hernia Hernia Abdominal Laparoscopy Hernia Health sciences Ciências médicas Ciências da vida Ciências da saúde Hérnia Ventral Hérnia Incisional Hérnia Abdominal Laparoscopia Hérnia Ciencias médicas Ciencias de la vida Ciencias de la salud
title_short	Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo
title_full	Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo
title_fullStr	Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo
title_full_unstemmed	Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo
title_sort	Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo
dc.creator.fl_str_mv	Trujillo Díaz, Jeancarlos Jhosmer Gómez López, Juan Ramón Concejo Cutoli, Pilar Martínez Moreno, Clara Atienza Herrero, Javier Martín del Olmo, Juan Carlos
dc.contributor.author.none.fl_str_mv	Trujillo Díaz, Jeancarlos Jhosmer Gómez López, Juan Ramón Concejo Cutoli, Pilar Martínez Moreno, Clara Atienza Herrero, Javier Martín del Olmo, Juan Carlos
dc.subject.spa.fl_str_mv	Hernia Ventral Hernia Incisional Hernia Abdominal Laparoscopía Hernia
topic	Hernia Ventral Hernia Incisional Hernia Abdominal Laparoscopía Hernia Medical sciences Life sciences Hernia Ventral Incisional Hernia Hernia Abdominal Laparoscopy Hernia Health sciences Ciências médicas Ciências da vida Ciências da saúde Hérnia Ventral Hérnia Incisional Hérnia Abdominal Laparoscopia Hérnia Ciencias médicas Ciencias de la vida Ciencias de la salud
dc.subject.keywords.eng.fl_str_mv	Medical sciences Life sciences Hernia Ventral Incisional Hernia Hernia Abdominal Laparoscopy Hernia Health sciences
dc.subject.keywords.por.fl_str_mv	Ciências médicas Ciências da vida Ciências da saúde Hérnia Ventral Hérnia Incisional Hérnia Abdominal Laparoscopia Hérnia
dc.subject.lemb.spa.fl_str_mv	Ciencias médicas Ciencias de la vida Ciencias de la salud
description	El manejo de la hernia ventral sigue siendo un desafío para los cirujanos. Su reparación mediante técnicas mínimamente invasivas, como la totalmente extraperitoneal (eTEP) laparoscópica, permite una amplia disección del espacio a reparar, una recuperación postoperatoria más rápida, menor dolor postoperatorio y estancia hospitalaria. El abordaje eTEP es un enfoque novedoso que utiliza el espacio retromuscular para colocar material protésico y fortalecer la pared abdominal. El objetivo es describir los resultados a corto plazo de nuestra experiencia inicial con la técnica eTEP en el manejo de las hernias ventrales. Metodología. Estudio observacional, descriptivo, retrospectivo, donde se incluyen pacientes con el diagnóstico de hernia ventral, sometidos a cirugía laparoscópicaeTEP, entre julio-2021 y junio-2022. Resultados. De un total de 21 pacientes, el 61.9% fueron hombres. El 47.6% tenían sobrepeso y el 52.4% obesidad. Estancia hospitalaria media: 1.6 días. El 66.7% fueron hernias incisionales. Las técnicas quirúrgicas realizadas fueron: Rives-Stoppa (71.4%) asociándose liberación del músculo transverso en el 28.6%. El 19% de los pacientes presentaron complicaciones globales y solo uno fue grave, requiriendo reintervención quirúrgica. Se observó la presencia de seroma clínico en el 9.5% y ecográfico en 57.1%. No se evidenciaron hematomas, infección de herida quirúrgica ni casos de recidiva herniaria. Discusión y conclusiones. El abordaje laparoscópico eTEP Rives-Stoppa, asociado o no a separación posterior de componentes, en el manejo de las hernias ventrales ofrece buenos resultados asociando una baja incidencia de complicaciones postoperatorias, corta estancia hospitalaria, baja incidencia de recidivas herniarias, por lo que podría considerarse una técnica segura y efectiva en el tratamiento de las hernias ventrales.
publishDate	2023
dc.date.issued.none.fl_str_mv	2023-03-14
dc.date.accessioned.none.fl_str_mv	2024-08-16T21:36:02Z
dc.date.available.none.fl_str_mv	2024-08-16T21:36:02Z
dc.type.eng.fl_str_mv	Article
dc.type.coar.fl_str_mv	http://purl.org/coar/resource_type/c_6501
dc.type.coarversion.fl_str_mv	http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.driver.none.fl_str_mv	info:eu-repo/semantics/article
dc.type.local.spa.fl_str_mv	Artículo
dc.type.coar.none.fl_str_mv	http://purl.org/coar/resource_type/c_2df8fbb1
dc.type.redcol.none.fl_str_mv	http://purl.org/redcol/resource_type/ART
format	http://purl.org/coar/resource_type/c_2df8fbb1
dc.identifier.issn.spa.fl_str_mv	i-ISSN 0123-7047 e-ISSN 2382-4603
dc.identifier.uri.none.fl_str_mv	http://hdl.handle.net/20.500.12749/26080
dc.identifier.instname.spa.fl_str_mv	instname:Universidad Autónoma de Bucaramanga UNAB
dc.identifier.reponame.spa.fl_str_mv	reponame:Repositorio Institucional UNAB
dc.identifier.repourl.spa.fl_str_mv	repourl:https://repository.unab.edu.co
dc.identifier.doi.none.fl_str_mv	https://doi.org/10.29375/01237047.4491
identifier_str_mv	i-ISSN 0123-7047 e-ISSN 2382-4603 instname:Universidad Autónoma de Bucaramanga UNAB reponame:Repositorio Institucional UNAB repourl:https://repository.unab.edu.co
url	http://hdl.handle.net/20.500.12749/26080 https://doi.org/10.29375/01237047.4491
dc.language.iso.spa.fl_str_mv	spa
language	spa
dc.relation.spa.fl_str_mv	https://revistas.unab.edu.co/index.php/medunab/article/view/4491/3711
dc.relation.uri.spa.fl_str_mv	https://revistas.unab.edu.co/index.php/medunab/issue/view/286
dc.relation.references.none.fl_str_mv	Le-Huu Nho R, Mege D, Ouaïssi M, Sielezneff I, Sastre B. Incidence and prevention of ventral incisional hernia. J Visc Surg [Internet]. 2012;149(5 Suppl):e3-14. doi: https://doi.org/10.1016/j.jviscsurg.2012.05.004 Ramana B, Arora E, Belyansky I. Signs and landmarks in eTEP Rives-Stoppa repair of ventral hernias. Hernia [Internet]. 2021;25(2):545-550. doi: https://doi. org/10.1007/s10029-020-02216-4 Vorst A, Kaoutzanis C, Carbonell A, Franz MG. Evolution and advances in laparoscopic ventral and incisional hernia repair. World J Gastrointest Surg [Internet]. 2015;7(11):293-305. doi: https://doi.org/10.4240/wjgs. v7.i11.293 Holihan J, Alawadi Z, Martindale R, Roth SJ, Wray CJ, Ko TC, et al. Adverse Events after Ventral Hernia Repair: The Vicious Cycle of Complications. J Am Coll Surg [Internet]. 2015;221(2):478-85. doi: https://doi. org/10.1016/j.jamcollsurg.2015.04.026 Gioia-Morrell AL, Morrell A, Morrell-Junior AC, Mendes J, De Freitas-Mendes JM, Morrell AG. Standardization and ten essential steps in the lateral robotic extended totally extraperitoneal (eTEP) repair of ventral hernias. Rev Col Bras Cir [Internet]. 2020;47:e20202622. doi: https://doi.org/10.1590/0100-6991e-20202622 Rege SA, Churiwala JJ, Kaderi ASA, Kshirsagar KF, Dalvi AN. Comparison of efficacy and safety of the enhanced-view totally extraperitoneal (eTEP) and transabdominal (TARM) minimal access techniques for retromuscular placement of prosthesis in the treatment of irreducible midline ventral hernia. J Minim Access Surg [Internet]. 2021;17(4):519-524. doi: https://doi. org/10.4103/jmas.JMAS_145_20 Parker SG, Halligan S, Liang MK, Muysoms FE, Adrales GL, Boutall A, et al. International classification of abdominal wall planes (ICAP) to describe mesh insertion for ventral hernia repair. Br J Surg [Internet]. 2020;107(3):209-217. doi: https://doi.org/10.1002/ bjs.11400 Rosen M, Fatima J, Sarr M. Repair of abdominal wall hernias with restoration of abdominal wall function. J Gastrointest Surg [Internet]. 2010;14(1):175-85. doi: https://doi.org/10.1007/s11605-009-0981-9 LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc [Internet]. 1993;3(1):39-41. Recuperado a partir de: https://pubmed.ncbi.nlm.nih. gov/8258069/ Agarwal BB, Agarwal S, Mahajan KC. Laparoscopic ventral hernia repair: innovative anatomical closure, mesh insertion without 10-mm transmyofascial port, and atraumatic mesh fixation: a preliminary experience of a new technique. Surg Endosc [Internet]. 2009;23(4):900- 5. doi: https://doi.org/10.1007/s00464-008-0159-7 Suwa K, Okamoto T, Yanaga K. Closure versus nonclosure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature. Surg Today [Internet]. 2016;46(7):764-73. doi: https://doi. org/10.1007/s00595-015-1219-y Mitura K, Skolimowska-Rzewuska M, Garnysz K. Outcomes of bridging versus mesh augmentation in laparoscopic repair of small and medium midline ventral hernias. Surg Endosc [Internet]. 2017;31(1):382-388. doi: https://doi.org/10.1007/s00464-016-4984-9 Aliseda D, Sanchez-Justicia C, Zozaya G, Lujan J, Almeida A, Blanco N, et al. Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis. Hernia [Internet]. 2022;26:1511-1520. doi: https://doi. org/10.1007/s10029-021-02557-8 Henriksen NA, Jorgensen LN, Friis-Andersen H, Helgstrand F. Danish Hernia Database. Open versus laparoscopic umbilical and epigastric hernia repair: nationwide data on short- and long-term outcomes. Surg Endosc [Internet]. 2022;36(1):526-532. doi: https://doi. org/10.1007/s00464-021-08312-5 Bui NH, Jørgensen LN, Jensen KK. Laparoscopic intraperitoneal versus enhanced-view totally extraperitoneal retromuscular mesh repair for ventral hernia: a retrospective cohort study. Surg Endosc [Internet]. 2022;36(2):1500-1506. doi: https://doi. org/10.1007/s00464-021-08436-8 Daes J. The enhanced view-totally extraperitoneal technique for repair of inguinal hernia. Surg Endosc [Internet]. 2012;26(4):1187-9. doi: https://doi. org/10.1007/s00464-011-1993-6 Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza H, Weltz A, et al. A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc [Internet]. 2018;32(3):1525-1532. doi: https:// doi.org/10.1007/s00464-017-5840-2 Morales-Conde S. A new classification for seroma after laparoscopic ventral hernia repair. Hernia [Internet]. 2012;16(3):261-7. doi: https://doi.org/10.1007/s10029- 012-0911-8 Poelman M, Apers J, van-den-Brand H, Cense H, Consten E, Deelder J, et al. The INCH-Trial: a multicentre randomized controlled trial comparing the efficacy of conventional open surgery and laparoscopic surgery for incisional hernia repair. BMC Surg [Internet]. 2013;13:18. doi: https://doi.org/10.1186/1471-2482-13- 18 Kumar N, Palanisamy NV, Parthasarathi R, Sabnis SC, Nayak SK, Palanivelu C. A comparative prospective study of short-term outcomes of extended view totally extraperitoneal (e-TEP) repair versus laparoscopic intraperitoneal on lay mesh (IPOM) plus repair for ventral hernia. Surg Endosc [Internet]. 2021;35(9):5072- 5077. doi: https://doi.org/10.1007/s00464-020-07990-x Bellido-Luque J, Gomez-Rosado JC, Bellido-Luque A, Gomez-Menchero J, Suarez-Grau JM, Sanchez- Matamoros I, et al. Endoscopic retromuscular technique (eTEP) vs conventional laparoscopic ventral or incisional hernia repair with defect closure (IPOM +) for midline hernias. A case-control study. Hernia [Internet]. 2021;25(4):1061-1070. doi: https://doi.org/10.1007/ s10029-021-02373-0 Prakhar G, Parthasarathi R, Cumar B, Subbaiah R, Nalankilli VP, Praveen R, et al. Extended View: Totally Extra Peritoneal (e-TEP) Approach for Ventral and Incisional Hernia-Early results from a single center. Surg Endosc [Internet]. 2021;35(5):2005-2013. doi: https:// doi.org/10.1007/s00464-020-07595-4 Baig SJ, Priya P. Extended totally extraperitoneal repair (eTEP) for ventral hernias: Short-term results from a single centre. J Minim Access Surg [Internet]. 2019;15(3):198-203. doi: https://doi.org/10.4103/jmas. JMAS_29_18 Binnebösel M, Klink CD, Otto J, Conze J, Jansen PL, Anurov M, et al. Impact of mesh positioning on foreign body reaction and collagenous ingrowth in a rabbit model of open incisional hernia repair. Hernia [Internet]. 2010;14(1):71-7. doi: https://doi.org/10.1007/s10029- 009-0580-4 Novitsky Y, Elliott H, Orenstein S, Rosen M. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg [Internet]. 2012;204(5):709- 16. doi: https://doi.org/10.1016/j.amjsurg.2012.02.008 Salido-Fernandez S, Fraile-Vilarrasa M, Osorio-Silla I, Georgiev-Hristov T, Bernar-de-Oriol J, González- Ayora S, et al. Vía totalmente extraperitoneal extendida (Etep) para la corrección de hernias ventrales: resultados preliminares. Cir Esp (Engl Ed) [Internet]. 2020;98(5):260-266. doi: https://doi.org/10.1016/j. ciresp.2020.01.006 Khetan M, Dey A, Bindal V, Suviraj J, Mittal T, Kalhan S, et al. e-TEP repair for midline primary and incisional hernia: technical considerations and initial experience. Hernia [Internet]. 2021;25(6):1635-1646. doi: https://doi. org/10.1007/s10029-021-02397-6 Belyansky I, Reza-Zahiri H, Sanford Z, Weltz AS, Park A. Early operative outcomes of endoscopic (eTEP access) robotic-assisted retromuscular abdominal wall hernia repair. Hernia [Internet]. 2018;22(5):837-847. doi: https://doi.org/10.1007/s10029-018-1795-z Moga D, Buia F, Oprea V. Laparo-Endoscopic Repair of Ventral Hernia and Rectus Diastasis. JSLS [Internet]. 2021;25(2):e2020.00103. doi: https://doi.org/10.4293/ JSLS.2020.00103 Radu VG, Lica M. The endoscopic retromuscular repair of ventral hernia: the eTEP technique and early results. Hernia [Internet]. 2019;23(5):945-955. doi: https://doi. org/10.1007/s10029-019-01931-x Penchev D, Kotashev G, Mutafchiyski V. Endoscopic enhanced-view totally extraperitoneal retromuscular approach for ventral hernia repair. Surg Endosc [Internet]. 2019;33(11):3749-3756. doi: https://doi.org/10.1007/ s00464-019-06669-2
dc.rights.coar.fl_str_mv	http://purl.org/coar/access_right/c_abf2
dc.rights.uri.*.fl_str_mv	http://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.rights.local.spa.fl_str_mv	Abierto (Texto Completo)
dc.rights.creativecommons.*.fl_str_mv	Atribución-NoComercial-SinDerivadas 2.5 Colombia
rights_invalid_str_mv	http://creativecommons.org/licenses/by-nc-nd/2.5/co/ Abierto (Texto Completo) Atribución-NoComercial-SinDerivadas 2.5 Colombia http://purl.org/coar/access_right/c_abf2
dc.format.mimetype.spa.fl_str_mv	application/pdf
dc.publisher.grantor.spa.fl_str_mv	Universidad Autónoma de Bucaramanga UNAB
dc.publisher.faculty.spa.fl_str_mv	Facultad Ciencias de la Salud
dc.source.spa.fl_str_mv	Vol. 25 Núm. 3 (2022): diciembre 2022 - marzo 2023: Innovación, Cirugía, Educación; 359-371
institution	Universidad Autónoma de Bucaramanga - UNAB
bitstream.url.fl_str_mv	https://repository.unab.edu.co/bitstream/20.500.12749/26080/1/Art%c3%adculo.pdf https://repository.unab.edu.co/bitstream/20.500.12749/26080/2/license.txt https://repository.unab.edu.co/bitstream/20.500.12749/26080/3/Art%c3%adculo.pdf.jpg
bitstream.checksum.fl_str_mv	908b2c73177b7dd727a67c18fb185e58 737346e09d47a3db691f1370de49426a b4616a9e235dad14d626eb3be27510cf
bitstream.checksumAlgorithm.fl_str_mv	MD5 MD5 MD5
repository.name.fl_str_mv	Repositorio Institucional \| Universidad Autónoma de Bucaramanga - UNAB
repository.mail.fl_str_mv	repositorio@unab.edu.co
_version_	1814277330876497920
spelling	Trujillo Díaz, Jeancarlos Jhosmer56809971-9e8c-4f9e-ba5e-f04cbc146edfGómez López, Juan Ramón63d05dcc-1f33-4496-b974-8e664ef21cd7Concejo Cutoli, Pilar7c31118d-ab8f-4598-90c5-6a73d85057b8Martínez Moreno, Clara6c134a69-97de-4b96-9f41-0678bebce91cAtienza Herrero, Javier013c47b8-a651-4852-b8ff-62adc66b7256Martín del Olmo, Juan Carlos71815947-3dd5-43a4-a7df-8f4e074ab9e72024-08-16T21:36:02Z2024-08-16T21:36:02Z2023-03-14i-ISSN 0123-7047e-ISSN 2382-4603http://hdl.handle.net/20.500.12749/26080instname:Universidad Autónoma de Bucaramanga UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.cohttps://doi.org/10.29375/01237047.4491El manejo de la hernia ventral sigue siendo un desafío para los cirujanos. Su reparación mediante técnicas mínimamente invasivas, como la totalmente extraperitoneal (eTEP) laparoscópica, permite una amplia disección del espacio a reparar, una recuperación postoperatoria más rápida, menor dolor postoperatorio y estancia hospitalaria. El abordaje eTEP es un enfoque novedoso que utiliza el espacio retromuscular para colocar material protésico y fortalecer la pared abdominal. El objetivo es describir los resultados a corto plazo de nuestra experiencia inicial con la técnica eTEP en el manejo de las hernias ventrales. Metodología. Estudio observacional, descriptivo, retrospectivo, donde se incluyen pacientes con el diagnóstico de hernia ventral, sometidos a cirugía laparoscópicaeTEP, entre julio-2021 y junio-2022. Resultados. De un total de 21 pacientes, el 61.9% fueron hombres. El 47.6% tenían sobrepeso y el 52.4% obesidad. Estancia hospitalaria media: 1.6 días. El 66.7% fueron hernias incisionales. Las técnicas quirúrgicas realizadas fueron: Rives-Stoppa (71.4%) asociándose liberación del músculo transverso en el 28.6%. El 19% de los pacientes presentaron complicaciones globales y solo uno fue grave, requiriendo reintervención quirúrgica. Se observó la presencia de seroma clínico en el 9.5% y ecográfico en 57.1%. No se evidenciaron hematomas, infección de herida quirúrgica ni casos de recidiva herniaria. Discusión y conclusiones. El abordaje laparoscópico eTEP Rives-Stoppa, asociado o no a separación posterior de componentes, en el manejo de las hernias ventrales ofrece buenos resultados asociando una baja incidencia de complicaciones postoperatorias, corta estancia hospitalaria, baja incidencia de recidivas herniarias, por lo que podría considerarse una técnica segura y efectiva en el tratamiento de las hernias ventrales.Managing ventral hernia remains a challenge for surgeons. Repairing it using minimally invasive techniques, such as laparoscopic totally extraperitoneal (eTEP), which allows for a wide dissection of the space to be repaired, faster postoperative recovery, less postoperative pain and shorter hospital stay. The eTEP approach is a novel technique that focus on the uses of the retromuscular space to place prosthetic material and strengthen the abdominal wall. The objective is to describe the short-term results of our initial experience with the eTEP technique in the management of ventral hernias. Methodology. Observational, descriptive, retrospective, study, which included patients with a diagnosis of ventral hernia, undergoing laparoscopic eTEP surgery, between July- 2021 and June-2022. Results. Of a total of 21 patients, 61.9% were men. 47.6% were overweight and 52.4% were obese. Average hospital stay: 1.6 days. 66.7% were incisional hernias. The surgical techniques performed were: Rives-Stoppa (71.4%) with associated transversus abdominis muscle release in 28.6%. 19% of the patients presented global complications and only one was severe, requiring surgical reintervention. The presence of clinical seroma was observed in 9.5% and ultrasound in 57.1%. There was no evidence of hematomas, surgical wound infection or cases of hernia recurrence. Discussion and conclusions. The laparoscopic-eTEP Rives-Stoppa approach, associated or not with posterior separation of components, in the management of ventral hernias offers good results with a low incidence of postoperative complications, short hospital stay, low incidence of hernia recurrences, so it could be considered a safe and effective technique in the treatment of ventral herniasO manejo da hérnia ventral continua sendo um desafio para os cirurgiões. Seu reparo por meio de técnicas minimamente invasivas, como a totalmente extraperitoneal (eTEP) laparoscópica, permite ampla dissecção do espaço a ser reparado, recuperação pós-operatória mais rápida, menor dor pós-operatória e menor tempo de internação. A abordagem eTEP é uma nova abordagem que usa o espaço retromuscular para colocar material protético e fortalecer a parede abdominal. O objetivo é descrever os resultados de curto prazo de nossa experiência inicial com a técnica eTEP no manejo de hérnias ventrais. Metodologia. Estudo observacional, descritivo, retrospectivo, longitudinal, que inclui pacientes com diagnóstico de hérnia ventral, submetidos a cirurgia laparoscópica-eTEP, entre julho-2021 e junho-2022. Resultados. De um total de 21 pacientes, 61.9% eram homens; 47.6% estavam com sobrepeso e 52.4% obesos. Tempo médio de internação: 1.6 dias; 66.7% eram hérnias incisionais. As técnicas cirúrgicas realizadas foram: Rives-Stoppa (71.4%) associada à liberação do músculo transverso em 28.6%. 19% dos pacientes apresentaram complicações globais e apenas um foi grave, necessitando de reintervenção cirúrgica. A presença de seroma clínico foi observada em 9.5% e ultrassonográfica em 57.1%. Não houve evidência de hematoma, infecção de ferida cirúrgica ou casos de recidiva de hérnia. Discussão e conclusões. A abordagem laparoscópica eTEP Rives-Stoppa, associada ou não à separação posterior dos componentes, no manejo das hérnias ventrais oferece bons resultados associando baixa incidência de complicações pós-operatórias, curto tempo de internação, baixa incidência de recidivas de hérnias, pelo que pode ser considerada uma técnica segura e eficaz no tratamento das hérnias ventrais.application/pdfspahttps://revistas.unab.edu.co/index.php/medunab/article/view/4491/3711https://revistas.unab.edu.co/index.php/medunab/issue/view/286Le-Huu Nho R, Mege D, Ouaïssi M, Sielezneff I, Sastre B. Incidence and prevention of ventral incisional hernia. J Visc Surg [Internet]. 2012;149(5 Suppl):e3-14. doi: https://doi.org/10.1016/j.jviscsurg.2012.05.004Ramana B, Arora E, Belyansky I. Signs and landmarks in eTEP Rives-Stoppa repair of ventral hernias. Hernia [Internet]. 2021;25(2):545-550. doi: https://doi. org/10.1007/s10029-020-02216-4Vorst A, Kaoutzanis C, Carbonell A, Franz MG. Evolution and advances in laparoscopic ventral and incisional hernia repair. World J Gastrointest Surg [Internet]. 2015;7(11):293-305. doi: https://doi.org/10.4240/wjgs. v7.i11.293Holihan J, Alawadi Z, Martindale R, Roth SJ, Wray CJ, Ko TC, et al. Adverse Events after Ventral Hernia Repair: The Vicious Cycle of Complications. J Am Coll Surg [Internet]. 2015;221(2):478-85. doi: https://doi. org/10.1016/j.jamcollsurg.2015.04.026Gioia-Morrell AL, Morrell A, Morrell-Junior AC, Mendes J, De Freitas-Mendes JM, Morrell AG. Standardization and ten essential steps in the lateral robotic extended totally extraperitoneal (eTEP) repair of ventral hernias. Rev Col Bras Cir [Internet]. 2020;47:e20202622. doi: https://doi.org/10.1590/0100-6991e-20202622Rege SA, Churiwala JJ, Kaderi ASA, Kshirsagar KF, Dalvi AN. Comparison of efficacy and safety of the enhanced-view totally extraperitoneal (eTEP) and transabdominal (TARM) minimal access techniques for retromuscular placement of prosthesis in the treatment of irreducible midline ventral hernia. J Minim Access Surg [Internet]. 2021;17(4):519-524. doi: https://doi. org/10.4103/jmas.JMAS_145_20Parker SG, Halligan S, Liang MK, Muysoms FE, Adrales GL, Boutall A, et al. International classification of abdominal wall planes (ICAP) to describe mesh insertion for ventral hernia repair. Br J Surg [Internet]. 2020;107(3):209-217. doi: https://doi.org/10.1002/ bjs.11400Rosen M, Fatima J, Sarr M. Repair of abdominal wall hernias with restoration of abdominal wall function. J Gastrointest Surg [Internet]. 2010;14(1):175-85. doi: https://doi.org/10.1007/s11605-009-0981-9LeBlanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc [Internet]. 1993;3(1):39-41. Recuperado a partir de: https://pubmed.ncbi.nlm.nih. gov/8258069/Agarwal BB, Agarwal S, Mahajan KC. Laparoscopic ventral hernia repair: innovative anatomical closure, mesh insertion without 10-mm transmyofascial port, and atraumatic mesh fixation: a preliminary experience of a new technique. Surg Endosc [Internet]. 2009;23(4):900- 5. doi: https://doi.org/10.1007/s00464-008-0159-7Suwa K, Okamoto T, Yanaga K. Closure versus nonclosure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature. Surg Today [Internet]. 2016;46(7):764-73. doi: https://doi. org/10.1007/s00595-015-1219-yMitura K, Skolimowska-Rzewuska M, Garnysz K. Outcomes of bridging versus mesh augmentation in laparoscopic repair of small and medium midline ventral hernias. Surg Endosc [Internet]. 2017;31(1):382-388. doi: https://doi.org/10.1007/s00464-016-4984-9Aliseda D, Sanchez-Justicia C, Zozaya G, Lujan J, Almeida A, Blanco N, et al. Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis. Hernia [Internet]. 2022;26:1511-1520. doi: https://doi. org/10.1007/s10029-021-02557-8Henriksen NA, Jorgensen LN, Friis-Andersen H, Helgstrand F. Danish Hernia Database. Open versus laparoscopic umbilical and epigastric hernia repair: nationwide data on short- and long-term outcomes. Surg Endosc [Internet]. 2022;36(1):526-532. doi: https://doi. org/10.1007/s00464-021-08312-5Bui NH, Jørgensen LN, Jensen KK. Laparoscopic intraperitoneal versus enhanced-view totally extraperitoneal retromuscular mesh repair for ventral hernia: a retrospective cohort study. Surg Endosc [Internet]. 2022;36(2):1500-1506. doi: https://doi. org/10.1007/s00464-021-08436-8Daes J. The enhanced view-totally extraperitoneal technique for repair of inguinal hernia. Surg Endosc [Internet]. 2012;26(4):1187-9. doi: https://doi. org/10.1007/s00464-011-1993-6Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza H, Weltz A, et al. A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc [Internet]. 2018;32(3):1525-1532. doi: https:// doi.org/10.1007/s00464-017-5840-2Morales-Conde S. A new classification for seroma after laparoscopic ventral hernia repair. Hernia [Internet]. 2012;16(3):261-7. doi: https://doi.org/10.1007/s10029- 012-0911-8Poelman M, Apers J, van-den-Brand H, Cense H, Consten E, Deelder J, et al. The INCH-Trial: a multicentre randomized controlled trial comparing the efficacy of conventional open surgery and laparoscopic surgery for incisional hernia repair. BMC Surg [Internet]. 2013;13:18. doi: https://doi.org/10.1186/1471-2482-13- 18Kumar N, Palanisamy NV, Parthasarathi R, Sabnis SC, Nayak SK, Palanivelu C. A comparative prospective study of short-term outcomes of extended view totally extraperitoneal (e-TEP) repair versus laparoscopic intraperitoneal on lay mesh (IPOM) plus repair for ventral hernia. Surg Endosc [Internet]. 2021;35(9):5072- 5077. doi: https://doi.org/10.1007/s00464-020-07990-xBellido-Luque J, Gomez-Rosado JC, Bellido-Luque A, Gomez-Menchero J, Suarez-Grau JM, Sanchez- Matamoros I, et al. Endoscopic retromuscular technique (eTEP) vs conventional laparoscopic ventral or incisional hernia repair with defect closure (IPOM +) for midline hernias. A case-control study. Hernia [Internet]. 2021;25(4):1061-1070. doi: https://doi.org/10.1007/ s10029-021-02373-0Prakhar G, Parthasarathi R, Cumar B, Subbaiah R, Nalankilli VP, Praveen R, et al. Extended View: Totally Extra Peritoneal (e-TEP) Approach for Ventral and Incisional Hernia-Early results from a single center. Surg Endosc [Internet]. 2021;35(5):2005-2013. doi: https:// doi.org/10.1007/s00464-020-07595-4Baig SJ, Priya P. Extended totally extraperitoneal repair (eTEP) for ventral hernias: Short-term results from a single centre. J Minim Access Surg [Internet]. 2019;15(3):198-203. doi: https://doi.org/10.4103/jmas. JMAS_29_18Binnebösel M, Klink CD, Otto J, Conze J, Jansen PL, Anurov M, et al. Impact of mesh positioning on foreign body reaction and collagenous ingrowth in a rabbit model of open incisional hernia repair. Hernia [Internet]. 2010;14(1):71-7. doi: https://doi.org/10.1007/s10029- 009-0580-4Novitsky Y, Elliott H, Orenstein S, Rosen M. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg [Internet]. 2012;204(5):709- 16. doi: https://doi.org/10.1016/j.amjsurg.2012.02.008Salido-Fernandez S, Fraile-Vilarrasa M, Osorio-Silla I, Georgiev-Hristov T, Bernar-de-Oriol J, González- Ayora S, et al. Vía totalmente extraperitoneal extendida (Etep) para la corrección de hernias ventrales: resultados preliminares. Cir Esp (Engl Ed) [Internet]. 2020;98(5):260-266. doi: https://doi.org/10.1016/j. ciresp.2020.01.006Khetan M, Dey A, Bindal V, Suviraj J, Mittal T, Kalhan S, et al. e-TEP repair for midline primary and incisional hernia: technical considerations and initial experience. Hernia [Internet]. 2021;25(6):1635-1646. doi: https://doi. org/10.1007/s10029-021-02397-6Belyansky I, Reza-Zahiri H, Sanford Z, Weltz AS, Park A. Early operative outcomes of endoscopic (eTEP access) robotic-assisted retromuscular abdominal wall hernia repair. Hernia [Internet]. 2018;22(5):837-847. doi: https://doi.org/10.1007/s10029-018-1795-zMoga D, Buia F, Oprea V. Laparo-Endoscopic Repair of Ventral Hernia and Rectus Diastasis. JSLS [Internet]. 2021;25(2):e2020.00103. doi: https://doi.org/10.4293/ JSLS.2020.00103Radu VG, Lica M. The endoscopic retromuscular repair of ventral hernia: the eTEP technique and early results. Hernia [Internet]. 2019;23(5):945-955. doi: https://doi. org/10.1007/s10029-019-01931-xPenchev D, Kotashev G, Mutafchiyski V. Endoscopic enhanced-view totally extraperitoneal retromuscular approach for ventral hernia repair. Surg Endosc [Internet]. 2019;33(11):3749-3756. doi: https://doi.org/10.1007/ s00464-019-06669-2http://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)Atribución-NoComercial-SinDerivadas 2.5 Colombiahttp://purl.org/coar/access_right/c_abf2Vol. 25 Núm. 3 (2022): diciembre 2022 - marzo 2023: Innovación, Cirugía, Educación; 359-371Hernia VentralHernia IncisionalHernia AbdominalLaparoscopíaHerniaMedical sciencesLife sciencesHernia VentralIncisional HerniaHernia AbdominalLaparoscopyHerniaHealth sciencesCiências médicasCiências da vidaCiências da saúdeHérnia VentralHérnia IncisionalHérnia AbdominalLaparoscopiaHérniaCiencias médicasCiencias de la vidaCiencias de la saludManejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazoLaparoscopic Management of Ventral Hernias by Totally Extraperitoneal (eTEP) Approach: Initial Experience and Short-Term ResultsManejo laparoscópico de hérnias ventrais usando uma abordagem totalmente extraperitoneal (eTEP): experiência inicial e resultados em curto prazoArticleinfo:eu-repo/semantics/articleArtículohttp://purl.org/coar/resource_type/c_2df8fbb1http://purl.org/coar/resource_type/c_6501http://purl.org/redcol/resource_type/ARThttp://purl.org/coar/version/c_970fb48d4fbd8a85Universidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludORIGINALArtículo.pdfArtículo.pdfArtículoapplication/pdf1298319https://repository.unab.edu.co/bitstream/20.500.12749/26080/1/Art%c3%adculo.pdf908b2c73177b7dd727a67c18fb185e58MD51open accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8183https://repository.unab.edu.co/bitstream/20.500.12749/26080/2/license.txt737346e09d47a3db691f1370de49426aMD52open accessTHUMBNAILArtículo.pdf.jpgArtículo.pdf.jpgIM Thumbnailimage/jpeg13653https://repository.unab.edu.co/bitstream/20.500.12749/26080/3/Art%c3%adculo.pdf.jpgb4616a9e235dad14d626eb3be27510cfMD53open access20.500.12749/26080oai:repository.unab.edu.co:20.500.12749/260802024-08-16 22:00:43.284open accessRepositorio Institucional \| Universidad Autónoma de Bucaramanga - UNABrepositorio@unab.edu.coTGFzIHB1YmxpY2FjaW9uZXMgZGUgbGEgcmV2aXN0YSBNZWRVTkFCIGVzdMOhbiBiYWpvIHVuYSBMaWNlbmNpYSBkZSBBdHJpYnVjacOzbiBkZSBCaWVuZXMgQ29tdW5lcyBDcmVhdGl2b3MgKENyZWF0aXZlIENvbW1vbnMsIENDKSB0aXBvIDQuMCwgY29uIGRlcmVjaG9zIGRlIGF0cmlidWNpw7NuIHkgbm8gY29tZXJjaWFs

Manejo laparoscópico de las hernias ventrales mediante abordaje totalmente extraperitoneal (eTEP): experiencia inicial y resultados a corto plazo

Publicaciones similares