Pub Date : 2022-04-01DOI: 10.55791/2831-0098.1.1.99
Background: Rives-Stoppa repair has become the standard for repairing ventral and incisional hernias. The endoscopic retromuscular approach has the same benefits and offers the advantages of minimal invasive surgery. Method: The technique is based on the retromuscular approach to the linea semilunaris (longitudinal technique) or the linea semicircularis (transverse technique). The incision is made on the anterior rectus sheath, and the trocar is placed below the muscle. A retromuscular space is created and the neck of the hernia sac can be reached. Upon release of the hernia, the sheath of the opposite rectus muscle opens up entirely up to the semilunar line, allowing the creation of enough space for placing the mesh. The mesh can be fixed using transcutaneous sutures, glue or be non-fixed. It is not always necessary to close the defect. Results: Between 2003 and 2017 we performed 108 operations. We had 35 umbilical, 17 epigastric, one Spigelian and 55 incisional hernias. There were no intraoperative complications with ventral hernias, and one bowel injury in the incisional hernia group. There were five conversions and four recurrences. All of them were caused by a small mesh, after insufficient dissection. There were no infections. Conclusion: Unlike LVRH, e-TEP will probably achieve the results and benefits of the retromuscular open technique.
{"title":"E-TEP in Ventral and Incisional Hernia Repair – Our Experiences","authors":"","doi":"10.55791/2831-0098.1.1.99","DOIUrl":"https://doi.org/10.55791/2831-0098.1.1.99","url":null,"abstract":"Background: Rives-Stoppa repair has become the standard for repairing ventral and incisional hernias. The endoscopic retromuscular approach has the same benefits and offers the advantages of minimal invasive surgery. Method: The technique is based on the retromuscular approach to the linea semilunaris (longitudinal technique) or the linea semicircularis (transverse technique). The incision is made on the anterior rectus sheath, and the trocar is placed below the muscle. A retromuscular space is created and the neck of the hernia sac can be reached. Upon release of the hernia, the sheath of the opposite rectus muscle opens up entirely up to the semilunar line, allowing\u0000the creation of enough space for placing the mesh. The mesh can be fixed using transcutaneous sutures, glue or be non-fixed. It is not always necessary to close the defect.\u0000Results: Between 2003 and 2017 we performed 108 operations. We had 35 umbilical, 17 epigastric, one Spigelian and 55 incisional hernias. There were no intraoperative complications with ventral hernias, and one bowel injury in the incisional hernia group. There were five conversions and four recurrences. All of them were caused by a small mesh, after insufficient dissection. There were no infections.\u0000Conclusion: Unlike LVRH, e-TEP will probably achieve the results and benefits of the retromuscular open technique.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126000150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-01DOI: 10.55791/2831-0098.1.1.106
Background In extraordinary situations the volume of work of all hospital services changes. The impact of the global COVID 19 pandemic, is classified as an international emergency situation. But, we do not know How did one regional hospital in Bosnia and Herzegovina cope with the COVID-19 pandemic in line with its capacities in terms of emergency surgery. Materials and Methods We used data from our surgical protocols – emergency surgery performed in our department during July and August in 2019 and 2020. We used descriptive statistics. Results: The total number of examinations in the emergency surgical clinic was almost the same. The number of admissions in the period in question in 2020 was 36% lower in relation to the control period. The total number of operations was 17% lower. The number of emergency operations was 39.3% lower. Conclusion: it may be said that emergency surgery functioned on a satisfactory level in our regional hospital, and that the results do not deviate significantly from data from the literature, except regarding emergency amputations and emergency surgery for malignant colorectal stenosis.
{"title":"Emergency Surgery in a Regional Hospital Before and During the COVID 19 Pandemic","authors":"","doi":"10.55791/2831-0098.1.1.106","DOIUrl":"https://doi.org/10.55791/2831-0098.1.1.106","url":null,"abstract":"Background\u0000In extraordinary situations the volume of work of all hospital services changes. The impact of the global COVID 19 pandemic, is classified as an international emergency situation. But, we do not know How did one regional hospital in Bosnia and Herzegovina cope with the COVID-19 pandemic in line with its capacities in terms of emergency surgery.\u0000Materials and Methods\u0000We used data from our surgical protocols – emergency surgery performed in our department during July and August in 2019 and 2020. We used descriptive statistics.\u0000Results: The total number of examinations in the emergency surgical clinic was almost the same. The number of admissions in the period in question in 2020 was 36% lower in relation to the control period. The total number of operations was 17% lower. The number of emergency operations was 39.3% lower.\u0000Conclusion: it may be said that emergency surgery functioned on a satisfactory level in our regional hospital, and that the results do not deviate significantly from data from the literature, except regarding emergency amputations and emergency surgery for malignant colorectal stenosis.","PeriodicalId":277264,"journal":{"name":"South-East Europe Endo-Surgery Journal","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122117561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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