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Endoscopic and Laparoscopic Techniques of Minimally Invasive Components Separation for Abdominal Wall Reconstruction

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Laparoscopic and Robotic Incisional Hernia Repair

Abstract

Ventral and incisional hernia defects may be addressed by a variety of open or minimally invasive techniques. Laparoscopy has proven to be advantageous as it reduces wound morbidity, expedites return of bowel function, and decreases length of hospital stay. However, until recently, patients with a loss of domain or those having large hernia defects requiring components separation were relegated to open surgical techniques in order to address their complex defects. The following chapter overviews minimally invasive components separation with focus on relevant operative techniques and associated controversies.

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References

  1. Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990;86(3):519–26.

    Article  CAS  Google Scholar 

  2. Criss CN, Petro CC, Krpata DM, et al. Functional abdominal wall reconstruction improves core physiology and quality-of-life. Surgery. 2014;156(1):176–82.

    Article  Google Scholar 

  3. Lowe JB, Garza JR, Bowman JL, Rohrich RJ, Strodel WE. Endoscopically assisted “components separation” for closure of abdominal wall defects. Plast Reconstr Surg. 2000;105(2):720–9; quiz 730.

    Article  CAS  Google Scholar 

  4. Butler CE, Campbell KT. Minimally invasive component separation with inlay bioprosthetic mesh (MICSIB) for complex abdominal wall reconstruction. Plast Reconstr Surg. 2011;128(3):698–709.

    Article  CAS  Google Scholar 

  5. 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.

    Article  Google Scholar 

  6. Maas SM, de Vries RS, van Goor H, de Jong D, Bleichrodt RP. Endoscopically assisted “components separation technique” for the repair of complicated ventral hernias. J Am Coll Surg. 2002;194(3):388–90.

    Article  Google Scholar 

  7. Mommers EH, Wegdam JA, Nienhuijs SW, de Vries Reilingh TS. How to perform the endoscopically assisted components separation technique (ECST) for large ventral hernia repair. Hernia. 2016;20(3):441–7.

    Article  CAS  Google Scholar 

  8. Chelala E, Barake H, Estievenart J, Dessily M, Charara F, Alle JL. Long-term outcomes of 1326 laparoscopic incisional and ventral hernia repair with the routine suturing concept: a single institution experience. Hernia. 2016;20(1):101–10.

    Article  CAS  Google Scholar 

  9. Carbonell AM, Harold KL, Mahmutovic AJ, et al. Local injection for the treatment of suture site pain after laparoscopic ventral hernia repair. Am Surg. 2003;69(8):688–91; discussion 691–2.

    PubMed  Google Scholar 

  10. Colavita PD, Tsirline VB, Belyansky I, et al. Prospective, long-term comparison of quality of life in laparoscopic versus open ventral hernia repair. Ann Surg. 2012;256(5):714–22; discussion 722–3.

    Article  Google Scholar 

  11. Krpata DM, Blatnik JA, Novitsky YW, Rosen MJ. Posterior and open anterior components separations: a comparative analysis. Am J Surg. 2012;203(3):318–22; discussion 322.

    Article  Google Scholar 

  12. Weltz ASSA, Zahiri RZ, Schoeneborn A, Park A, Belyansky I. Operative outcomes after open abdominal wall reconstruction with retromuscular mesh fixation using fibrin glue versus transfascial sutures. Am Surg. 2017;83(9):937–42.

    PubMed  Google Scholar 

  13. Martin-Del-Campo LA, Weltz AS, Belyansky I, Novitsky YW. Comparative analysis of perioperative outcomes of robotic versus open transversus abdominis release. Surg Endosc. 2018;32(2):840–5.

    Article  Google Scholar 

  14. Belyansky IDJ, Radu VG, Balasu-bramanian R, Zahiri HR, Weltz AS, Sibia US, Park A, Novitsky Y. A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc. 2018;32(3):1525–32.

    Article  Google Scholar 

  15. Earle D, Roth JS, Saber A, et al. SAGES guidelines for laparoscopic ventral hernia repair. Surg Endosc. 2016;30(8):3163–83.

    Article  Google Scholar 

  16. Sanchez-Manuel FJ, Lozano-Garcia J, Seco-Gil JL. Antibiotic prophylaxis for hernia repair. Cochrane Database Syst Rev. 2012;2012(2):CD003769.

    Google Scholar 

  17. 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.

    Article  CAS  Google Scholar 

  18. 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.

    Article  Google Scholar 

  19. Daes J. The enhanced view-totally extraperitoneal technique for repair of inguinal hernia. Surg Endosc. Apr 2012;26(4):1187–9.

    Article  Google Scholar 

  20. 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.

    Article  Google Scholar 

  21. 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.

    Article  CAS  Google Scholar 

  22. Christoffersen MW, Olsen BH, Rosenberg J, Bisgaard T. Randomized clinical trial on the postoperative use of an abdominal binder after laparoscopic umbilical and epigastric hernia repair. Hernia. 2015;19(1):147–53.

    Article  CAS  Google Scholar 

  23. Rothman JP, Gunnarsson U, Bisgaard T. Abdominal binders may reduce pain and improve physical function after major abdominal surgery—a systematic review. Dan Med J. 2014;61(11):A4941.

    PubMed  Google Scholar 

  24. Park A, Lee G, Seagull FJ, Meenaghan N, Dexter D. Patients benefit while surgeons suffer: an impending epidemic. J Am Coll Surg. 2010;210(3):306–13.

    Article  Google Scholar 

  25. Higgins RM, Frelich MJ, Bosler ME, Gould JC. Cost analysis of robotic versus laparoscopic general surgery procedures. Surg Endosc. 2017;31(1):185–92.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Surgery, Anne Arundel Medical Center, Annapolis, MD, USA

    Zachary Sanford, Shyam S. Jayaraman, H. Reza Zahiri & Igor Belyansky

Authors
  1. Zachary Sanford
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  2. Shyam S. Jayaraman
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  3. H. Reza Zahiri
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  4. Igor Belyansky
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Corresponding author

Correspondence to Igor Belyansky .

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Editors and Affiliations

  1. Surgeons Group of Baton Rouge, Our Lady of the Lake Physicians Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

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Sanford, Z., Jayaraman, S.S., Reza Zahiri, H., Belyansky, I. (2018). Endoscopic and Laparoscopic Techniques of Minimally Invasive Components Separation for Abdominal Wall Reconstruction. In: LeBlanc, K. (eds) Laparoscopic and Robotic Incisional Hernia Repair. Springer, Cham. https://doi.org/10.1007/978-3-319-90737-6_9

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  • DOI: https://doi.org/10.1007/978-3-319-90737-6_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-90736-9

  • Online ISBN: 978-3-319-90737-6

  • eBook Packages: MedicineMedicine (R0)

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