e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases
Introduction. 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. Case Report. We report here three cases of...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2019/1609193 |
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| author | Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anang Pangeni Anir Ram Moh Shrestha |
| author_facet | Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anang Pangeni Anir Ram Moh Shrestha |
| author_sort | Vikal Chandra Shakya |
| collection | DOAJ |
| description | Introduction. 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. Case Report. 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. Conclusion. 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. |
| format | Article |
| id | doaj-art-2c0fd612b15d40c1842d0eab8f32be78 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-2c0fd612b15d40c1842d0eab8f32be782025-02-03T05:59:40ZengWileyCase Reports in Surgery2090-69002090-69192019-01-01201910.1155/2019/16091931609193e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three CasesVikal Chandra Shakya0Bikram Byanjankar1Rabin Pandit2Anang Pangeni3Anir Ram Moh Shrestha4Department of Surgery, Civil Service Hospital, Kathmandu, NepalDepartment of Surgery, Civil Service Hospital, Kathmandu, NepalDepartment of Surgery, Civil Service Hospital, Kathmandu, NepalDepartment of Surgery, Civil Service Hospital, Kathmandu, NepalDepartment of Surgery, Civil Service Hospital, Kathmandu, NepalIntroduction. 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. Case Report. 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. Conclusion. 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.http://dx.doi.org/10.1155/2019/1609193 |
| spellingShingle | Vikal Chandra Shakya Bikram Byanjankar Rabin Pandit Anang Pangeni Anir Ram Moh Shrestha e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases Case Reports in Surgery |
| title | e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases |
| title_full | e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases |
| title_fullStr | e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases |
| title_full_unstemmed | e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases |
| title_short | e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases |
| title_sort | e tep retromuscular repair for recurrent incisional hernias report of three cases |
| url | http://dx.doi.org/10.1155/2019/1609193 |
| work_keys_str_mv | AT vikalchandrashakya etepretromuscularrepairforrecurrentincisionalherniasreportofthreecases AT bikrambyanjankar etepretromuscularrepairforrecurrentincisionalherniasreportofthreecases AT rabinpandit etepretromuscularrepairforrecurrentincisionalherniasreportofthreecases AT anangpangeni etepretromuscularrepairforrecurrentincisionalherniasreportofthreecases AT anirrammohshrestha etepretromuscularrepairforrecurrentincisionalherniasreportofthreecases |