Abstract
Minimally invasive surgery (MIS) ventral hernia repairs were first described by Le Blanc in 1993 with the laparoscopic approach and an intraperitoneal onlay mesh (IPOM) implant. The development of laparoscopic techniques included several modifications such as the use of new coated meshes, new fixation devices, and, perhaps most importantly, changes in surgical technique. Laparoscopic techniques have proven themselves in the last 20 years as safe and effective treatments for ventral hernias, despite increased rates of intra-abdominal complications. Advances in MIS ventral hernia repair, such as the robotic platform, have enhanced the ability to operate on the abdominal wall through fully articulated instruments and improved optics and visualization. Surgeons quickly began performing MIS repairs without IPOM, returning to traditional techniques such as onlay and sublay. After robotic surgery ushered this trend, several MIS surgeons without robotic access began performing these techniques using traditional laparoscopic/endoscopic instruments. In this chapter, we will explore several of these extraperitoneal techniques.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Halm JA, de Wall LL, Steyerberg EW, Jeekel J, Lange JF. Intraperitoneal polypropylene mesh hernia repair complicates subsequent abdominal surgery. World J Surg. 2007;31(2):423–9.
Patel PP, Love MW, Ewing JA, Warren JA, Cobb WS, Carbonell A. Risks of subsequent abdominal operations after laparoscopic ventral hernia repair. Surg Endosc. 2017;31(2):823–8.
Earle D, Roth JS, Saber A, et al. SAGES guidelines for laparoscopic ventral hernia repair. Surg Endosc. 2016;30(8):3163–83.
Sanchez-Manuel FJ, Lozano-Garcia J, Seco-Gil JL. Antibiotic prophylaxis for hernia repair. Cochrane Database Syst Rev. 2012;(2):CD003769.
Hull RD, Brant RF, Pineo GF, Stein PD, Raskob GE, Valentine KA. Preoperative vs postoperative initiation of low-molecular-weight heparin prophylaxis against venous thromboembolism in patients undergoing elective hip replacement. Arch Intern Med. 1999;159(2):137–41.
Venturi ML, Davison SP, Caprini JA. Prevention of venous thromboembolism in the plastic surgery patient: current guidelines and recommendations. Aesthet Surg J. 2009;29(5):421–8.
Daes J. The enhanced view-totally extraperitoneal technique for repair of inguinal hernia. Surg Endosc. 2012;26(4):1187–9.
Belyansky I, Radu VG, Balasubra-manian R, Zahiri HR, Weltz AS. A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc. 2018;32(3):1525–32. Houston, Texas.
Ghali S, Turza KC, Baumann DP, Butler CE. Minimally invasive component separation results in fewer wound-healing complications than open component separation for large ventral hernia repairs. J Am Coll Surg. 2012;214(6):981–9.
Tandon A, Pathak S, Lyons NJ, Nunes QM, Daniels IR, Smart NJ. Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair. Br J Surg. 2016;103(12):1598–607.
Belyansky I, Zahiri HR, Park A. Laparoscopic transversus abdominis release, a novel minimally invasive approach to complex abdominal wall reconstruction. Surg Innov. 2016;23(2):134–41.
Reinpold W, Schröder M, Schröder A, Berger C, Nehls J, Stoltenberg W, Köckerling F. Minimally invasive sublay mesh repair of incisional and primary abdominal wall hernias using the MILOS technique. Eur Surg. 2017;49:59–64.
Bittner R, Schwarz J. Endoscopic mini/less open sublay operation for treatment of primary and secondary ventral hernias of the abdominal wall. Eur Surg. 2017;49:65–70.
Schwarz J, Reinpold W, Bittner R. Endoscopic mini/less open sublay technique (EMILOS)—a new technique for ventral hernia repair. Langenbeck's Arch Surg. 2017;402:173–80.
Köckerling F, Botsinis MD, Rohde, Reinpold W. Endoscopic-assisted linea alba reconstruction plus mesh augmentation for treatment of umbilical and/or epigastric hernias and rectus abdominis diastasis – early results. Front Surg. 2016;3:27. https://doi.org/10.3389/fsurg.2016.00027.
Köckerling F, Botsinis MD, Rohde C, Reinpold W, Schug-Pass C. Endoscopic-assisted linea alba reconstruction. New technique for treatment of symptomatic umbilical, trocar, and/or epigastric hernias with concomitant rectus abdominis diastasis. Eur Surg. 2017;49:71–5.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)
About this chapter
Cite this chapter
de Oliveira, F.M.M., Cavazzola, L.T., Weltz, A.S., Belyansky, I. (2019). Ventral Abdominal Hernia Repair: MIS Extraperitoneal Repair Techniques: eTEP Rives, MILOS/EMILOS, and Onlay MIS Repair. In: Davis, Jr., S., Dakin, G., Bates, A. (eds) The SAGES Manual of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-78411-3_20
Download citation
DOI: https://doi.org/10.1007/978-3-319-78411-3_20
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-78410-6
Online ISBN: 978-3-319-78411-3
eBook Packages: MedicineMedicine (R0)