THE FIRST RESULTS OF LAPAROSCOPIC INTRAPERITONEAL ALLOPLASTY OF UMBILICAL AND POSTOPERATIVE VENTRAL HERNIAS WITH CLOSURE OF THE HERNIAL DEFECT USING 3D LAPAROSCOPY
Abstract. The aim of the study was to analyze the first results of laparoscopic alloplasty of the umbilical and postoperative ventral hernias with suturing the hernial defect using 3D laparoscopy. During the period from September 2018 to April 2019, we performed 12 intraperitoneal alloplastic umbilical and postoperative hernias of medium and large sizes. The main group consisted of 7 patients who underwent intraperitoneal alloplasty with closure of the hernial defect and sac. 3D laparoscopy was used in some patients, (Epic HD system, Richard Wolf). The control group consisted of 5 patients who underwent intraperitoneal alloplasty without suturing the hernial defect and sac.
Seromes in the main group were in 3 cases, the average volume was 2 ml (from 0.5 to 3 ml), in the control group seromes were also in 3 cases, the average volume was 2.8 ml (from 1 to 5.5 ml). The immediate results, tracked from 1 to 6 months, showed no recurrence in both groups.
Bittner R., Bingener-Casey J., Dietz U., et.al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS) -Part 1 // Surg Endosc. – 2014; 28. –P.2–29. DOI 10.1007/s00464-013-3170-6
Jani K. Laparoscopic intra-peritoneal onlay mesh plus repair for ventral abdominal wall hernias - is there substance to the hype? // Mini-invasive Surg. – 2018; 2:14. DOI 10.20517/2574-1225.2018.08
Patrzyk M., Klee M., Stefaniak T., et al. Randomized study of the inluence of two-dimensional versus three-dimensional imaging using a novel 3D head-mounted display (HMS-3000MT) on performance of laparoscopic inguinal hernia repair // Surg Endosc. –2018; 32 (11). –P. 4624-4631. DOI:10.1007/s00464-018-6215-z
Suwa K., Okamoto T., Yanaga K. Closure versus non-closure of fascial defects in laparoscopic ventral and incisional herniarepairs: a review of the literature // Surg Today. – 2016 Jul; 46(7). –P.764-73. doi: 10.1007/s00595-015-1219-y.