First experience of 3D visualization in laparoscopic herniology
Journal Title: Хірургія України - Year 2019, Vol 0, Issue 2
Abstract
The aim — to estimate immediate results of the first experience of three‑dimensional laparoscopy for mesh repair of hiatal, ventral and inguinal hernias. Materials and methods. Three‑dimensional laparoscopy was used in 16 procedures: 4 transabdominal preperitoneal repairs of inguinal hernias (2 bilateral and 2 unilateral), 2 intraperitoneal onlay mesh repairs of umbilical hernia, 10 mesh repair of hiatal hernia and fundoplications. The facilities of three‑dimensional laparoscopy when applying intracorporal sutures in uncomfortable anatomical zones were studied. Self‑locking, non‑absorbable thread V‑loc (Covidien, USA) was used in all cases. Results and discussion. In transabdominal preperitoneal repairs of inguinal hernias, three‑dimensional laparoscopy decreased the duration of procedure and improved performance while suturing the peritoneum. The same advantages were obtained in suturing the hernia defect while intraperitoneal onlay mesh repairs of umbilical hernia procedures. In hiatal hernia repair and fundoplication, the additional advantages were obtained while manipulations in anatomically complex area, namely during posterior crural repair. There were no postoperative complications. There were no recurrences during the observation period of 3 months. Conclusions. Three‑dimensional laparoscopy allows performing complex manipulations in inconvenient anatomical areas with high speed and accuracy. More cases collection is needed to compare with two‑dimensional laparoscopy by objective parameters. Further study of advantages and disadvantages of selective use of three‑dimensional visualization is needed, for example, performing the most difficult stages of procedures.
Authors and Affiliations
A. V. Malinovsky, S. Y. Badion, I. I. Horbachuk
Keywords
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- EP ID EP609160
- DOI 10.30978/SU2019-2-26
- Views 111
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