Laparoscopic retro-muscular abdominal wall repair with posterior component separation And self-tacking Parietene Progrip mesh for the diastasis rectus abdominis. the first experience
Journal Title: Хірургія України - Year 2018, Vol 0, Issue 3
Abstract
Retromuscular repair of large postoperative ventral hernias and diastasis rectus abdominis may improve the results of these procedures compared to IPOM, and therefore becomes more and more popular last time. A 33-year-old woman with a postpartum 6 cm wide diastasis was operated. Six trocars were used: four 5-mm, and two 10-mm, symmetrically placed at the both flanks. After separation of posterior rectus sheath from rectus muscles on the both sides, the diastasis and the incision of the sheath was sewn. In the retromuscular space, Parietene Progrip Mesh (Covidien, USA) was fixated to the rectus muscles. The operation time was 5 hours. There were no postoperative complications, including confirmed by postoperative ultrasound. The patient was discharged on the 4th postoperative day. Laparoscopic retro-muscular repair allows to mobilize the rectus abdominis muscles, and placement of self-tacking mesh eliminates the need for transfascial sutures and tackers. These principles reduce the risk of recurrence and development of chronic pain.
Authors and Affiliations
A. V. Malinovskiy, M. М. Mayorenko, S. Yu. Badion
Keywords
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- EP ID EP416313
- DOI 10.30978/SU2018-3-95
- Views 114
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