Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description

Area of Science:

• Abdominal Surgery
• Surgical Innovation
• Hernia Repair

Background:

• Incisional hernia is a frequent complication following abdominal surgeries, leading to significant morbidity.
• Current treatments include open, laparoscopic, and robotic methods, often employing mesh, but these carry risks like infection and prolonged surgery.
• While absorbable prostheses exist, high costs and recurrence rates remain challenges.

Purpose of the Study:

• To report the initial case of endoscopic repair of incisional hernia.
• To evaluate the application of a long-standing Brazilian technique in a modern endoscopic approach.

Main Methods:

• Endoscopic repair of incisional hernia.
• Utilized the transposition with the hernia sac technique, originally proposed in 1971.
• This represents the authors' first case using this specific endoscopic method.

Main Results:

• Successfully performed the first endoscopic repair of an incisional hernia using the described Brazilian technique.
• The case occurred two years prior to the report, indicating a potential for long-term outcomes.

Conclusions:

• The endoscopic approach, combined with the established transposition technique, presents a viable alternative for incisional hernia repair.
• This case highlights the potential of adapting older surgical methods to minimally invasive techniques for improved patient outcomes.