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Total endoscopic sublay mesh repair for umbilical hernias
Xiao-Yan Cai1, Ke Chen, Yu Pan
1Department of General and Minimally Invasive Surgery, Sir Run Run Shaw Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
Medicine
|June 23, 2021
Summary
Total endoscopic sublay repair (TES) is a safe and effective minimally invasive technique for treating umbilical hernias. This study shows successful outcomes with minimal complications in 10 patients.
Area of Science:
- General Surgery
- Minimally Invasive Surgery
Background:
- Umbilical hernias are common surgical conditions.
- Both open and endoscopic techniques are used for repair.
- Various laparoscopic sublay approaches exist.
Purpose of the Study:
- To evaluate the safety and efficacy of total endoscopic sublay repair (TES) for umbilical hernias.
Main Methods:
- Prospective review of 10 patients undergoing TES for umbilical hernias (Nov 2017-Nov 2019).
- Evaluation of demographics, intraoperative details, and postoperative outcomes.
- All procedures performed by a single surgical team.
Main Results:
- All 10 TES procedures were successful without conversion to open surgery.
- No intraoperative complications occurred; average operative time was 109.5 minutes.
- Patients resumed oral diet within 6 hours, ambulated within 7.5 hours, with a mean hospital stay of 2.2 days.
- One patient developed a seroma; no wound complications, chronic pain, or recurrence were observed.
Conclusions:
- Total endoscopic sublay repair (TES) is a safe and effective treatment for umbilical hernias.
- The technique demonstrates favorable short-term outcomes and minimal complications.
