Endoscopic totally visceral sac separation: a novel concept for ventral hernia

Binggen Li
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Abstract

The whole abdominal wall can be regarded as a physiological and functional entity which is composed of multiple anatomical structures and layers. Surgical approaches or techniques are differently required for different portions of the abdominal wall. Indeed, the abdominal wall is confined by several anatomical boundaries which make different surgical spaces disconnected. If these boundaries could be broken down, separated spaces are now connected, establishing an ample retromuscular/preperitoneal space to perform totally visceral sac separation. The author has investigated the anatomical portions, significance of abdominal wall in totally visceral sac separation, and technical details and notes of totally visceral sac separation for different portions of abdominal wall in this paper. Key words: Hernia; Ventral hernia; Endoscopy; Totally visceral sac separation; Tension free repair; Extraperitoneal; Retromuscular repair; Laparoscopy
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内镜下完全内脏囊分离:一种治疗腹疝的新概念
整个腹壁可以看作是一个由多个解剖结构和层次组成的生理和功能实体。对于腹壁的不同部分需要不同的手术方法或技术。事实上,腹壁受到几个解剖边界的限制,这些边界使不同的手术空间断开。如果这些边界可以被打破,那么分离的空间现在就被连接起来,建立一个充足的肌后/腹膜前空间来进行完全的内脏囊分离。本文研究了腹壁的解剖部位、腹壁在全脏囊分离中的意义,以及腹壁不同部位全脏囊的分离技术细节和注意事项。关键词:疝;腹疝;内窥镜;完全内脏囊分离;无张力修复;腹膜外;肌后修复;腹腔镜检查
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来源期刊
中华消化外科杂志
中华消化外科杂志 Medicine-Gastroenterology
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0.50
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4544
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