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Endoscopic Mini-or Less-Open Sublay Operation (E/MILOS) in ventral hernia repair: a minimally invasive alternative
João Paulo Venancio DE-Carvalho1,2, Luca Giovanni Antonio Pivetta1,3, Pedro Henrique DE Freitas Amaral4,5
1- Faculdade de Ciências Médicas da Santa Casa de São Paulo, Departamento de Pós-graduação em Cirurgia - São Paulo - SP - Brasil.
Revista Do Colegio Brasileiro De Cirurgioes
|March 30, 2023
Summary
The E-MILOS technique offers a promising ventral hernia repair by utilizing a sublay mesh placement through a small incision, potentially reducing complications associated with traditional open and laparoscopic methods.
Area of Science:
- Abdominal Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Ventral hernia repair remains a subject of debate regarding optimal surgical techniques.
- Traditional open repairs have higher surgical site infection rates.
- Laparoscopic intraperitoneal onlay mesh (IPOM) carries risks like adhesions and bowel obstruction.
Purpose of the Study:
- To introduce and report the initial experience with the Endoscopic Mini or Less Open Sublay Repair (E-MILOS) technique in Brazil.
- To evaluate E-MILOS as an alternative to conventional ventral hernia repair methods.
Main Methods:
- The study reports the primary experience with the E-MILOS technique.
- E-MILOS involves laparoscopic retro-rectus space dissection and sublay mesh placement.
- This technique aims to use larger meshes via small incisions, avoiding intraperitoneal mesh placement.
Main Results:
- The paper focuses on the initial implementation and experience with the E-MILOS technique.
- Specific outcomes and complication rates are detailed in the full study.
Conclusions:
- The E-MILOS technique presents a novel approach to ventral hernia repair, potentially mitigating risks of open and laparoscopic methods.
- Further studies are needed to fully establish its efficacy and long-term outcomes.
