Abstract

DAES, Jorge  and  DAZA, Juan Carlos. Endoscopic component separation by subcutaneous approach. rev. colomb. cir. [online]. 2014, vol.29, n.1, pp.18-24. ISSN 2011-7582.

Traditional component separation (CS) creates a compound flap that can be advanced for tension-free closure of ventral hernias. Wound complications are common because of the extensive dissection that is necessary with the traditional approach. Endoscopic CS offers an alternative with lower morbidity. We describe our initial experience with endoscopic subcutaneous CS and early postoperative results in a pilot series of six patients with large ventral central hernias. This study shows that endoscopic subcutaneous CS is feasible, reproducible, ergonomic, and can result in minimal postoperative complications. Long-term follow-up is necessary to evaluate recurrence rate outcomes.

Keywords : abdominal wall; hernia; ventral; endoscopy; surgical procedures; operative; abdominal wound closure techniques.

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