A new hybrid mini-laparoscopic technique for Spigelian hernia

Carvalho, Gustavo; Góes, Gustavo; Cordeiro, Raquel Nogueira; Lima, Diego Laurentino; Amorim, Lucyeli; Furtado, Raimundo Hugo Matias

doi:10.4103/jmas.jmas_179_18

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…Traditionally a laparotomic splenectomy would be the option; however, the minimally invasive approaches have been shown to be more effective in these cases and are currently considered the gold standard surgical treatment 4 . Among the laparoscopic procedures, a hybrid approach consists the use of mini-laparoscopic instruments and one or two regular 5 mm laparoscopic instruments 5 . It's called a hybrid procedure due to the use of a 5 mm instrument such as a vessel sealing device, unavailable in a 3 mm size.…”

Section: Introductionmentioning

confidence: 99%

Minimally invasive surgical treatment in patients with immunological thrombocytopenic purpura

Carvalho

Lima²,

Cordeiro³

et al. 2020

Rev. Med. (São Paulo)

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Two female patients, one 28 years-old, and the other 61 years-old, with a history of asthenia, purpura and thrombocytopenia (both <15,000 platelets / mm3). Once other etiologies were excluded, and the diagnosis of immune thrombocytopenic purpura (ITP) was established, corticoid therapy was started in both cases. However, the patients remained with a platelet count <20,000 / mm3, characterizing refractory ITP, and the splenectomy was indicated. The surgical team opted for a hybrid minimally invasive surgical procedure. Providing a better visualization of the surgical field, less abdominal trauma, greater technical dexterity, and early hospital discharge, the use of minilaparoscopic instruments proved to be a safe and effective approach for these patients.

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Section: Introductionmentioning

confidence: 99%

Minimally invasive surgical treatment in patients with immunological thrombocytopenic purpura

Carvalho

Lima²,

Cordeiro³

et al. 2020

Rev. Med. (São Paulo)

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“…However, these instruments can also be used in hernia procedures and more complex surgeries. [ 17 18 19 20 ] It has become very popular in inguinal hernia repairs. When working in a limited space, such as in totally extraperitoneal (TEP) repair, smaller instruments have helped surgeons perform more precise movements and have a better visualisation of the surgical field.…”

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confidence: 99%

Twenty years of mini-laparoscopy in Brazil

Lima

Carvalho

Cordeiro

2021

Journal of Minimal Access Surgery

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The mini-laparoscopic cholecystectomy (MLC) was first performed in 1996, as the logical advancement of the conventional laparoscopic cholecystectomy. In Brazil, mini-laparoscopy was first performed in 1998, by Professors Peter Goh and Go Wakabaiashi, who performed a cholecystectomy using 3-mm instruments. The first study, with a considerable number of patients, was performed in Recife by Dr. Carvalho, and he reported that 719 patients were submitted to a MLC with a small rate of conversion for conventional laparoscopy. We discuss the development of mini-laparoscopy in Brazil for the past 20 years.

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Spigelian hernia: Our total extraperitoneal approach and a systematic review of the literature

Cui

Law

et al. 2021

Asian J Endoscop Surgery

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Introduction Spigelian hernia is a rare lateral ventral hernia traditionally repaired through open incision with extensive dissection. Three laparoscopic techniques have been reported in the literature: intraperitoneal onlay mesh (IPOM), transabdominal preperitoneal (TAPP), and total extraperitoneal (TEP). TEP is less popular than the other approaches. We evaluated TEP's safety and effectiveness and compared different laparoscopic techniques. Methods All patients with Spigelian hernia who had undergone extended TEP (eTEP) repair with mesh in our center from January 2007 to February 2020 were studied. A three‐port technique with a preperitoneal space created by telescope at the midline was adopted. A systematic review on laparoscopic mesh repair was performed by searching for “Spigelian hernia” and “laparoscopic” from 1999 to 2019 in the MEDLINE database. Results Seven patients underwent eTEP repair for Spigelian hernia. Five presented with abdominal mass and underwent preoperative imaging. Two were diagnosed incidentally during TEP for inguinal hernia. The mean operative duration was 65 minutes (range, 40‐93 minutes). There were no open conversions or intraoperative complications. The mean length of hospital stay was 1.4 days (range, 1‐3 days). The mean follow‐up period was 44.3 months. One patient developed seroma. There was no recurrence or chronic pain. We identified 197 laparoscopic mesh repairs reported in 41 articles. IPOM (n = 91) was the most popular approach, followed by TAPP (n = 70) and TEP (n = 36). Laparoscopic mesh repair of Spigelian hernia is safe and offers excellent outcomes. Conclusion We found the eTEP approach safe and effective for Spigelian hernia repair. IPOM, TAPP, and TEP are comparable.

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A new hybrid mini-laparoscopic technique for Spigelian hernia

Cited by 5 publications

References 6 publications

Minimally invasive surgical treatment in patients with immunological thrombocytopenic purpura

Minimally invasive surgical treatment in patients with immunological thrombocytopenic purpura

Twenty years of mini-laparoscopy in Brazil

Spigelian hernia: Our total extraperitoneal approach and a systematic review of the literature

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