Shyanie J Kumar, MD, Zachary Warriner, MD, Wesley Edmunds, John S Roth, MD. University of Kentucky
This is a technique video for totally extraperitoneal approach (TEP) with component separation for complex ventral hernia repair (VHR). TEP involves hernia sac identification and preservation. Hernia sac is dissected circumferentially until edges of intact anterior fascia identified. Posterior component separation performed as required for fascial closure. Hernia sac is then imbricated within the preperitoneal space or posterior rectus sheath in the midline. Mesh is placed as retromuscular sublay and linea alba restored ventral to mesh. TEP involves hernia sac identification and preservation. Hernia sac is dissected circumferentially until edges of intact anterior fascia identified. Posterior component separation performed as required for fascial closure. Hernia sac is then imbricated within the preperitoneal space or posterior rectus sheath in the midline. By leaving the hernia sac unopened we save operative time by avoiding lysis of adhesions and decrease our enterotomy rate. Mesh is placed as retromuscular sublay and linea alba restored ventral to mesh. We have described five years’ experience of totally extraperitoneal approach with favorable outcomes.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 94790
Program Number: P531
Presentation Session: Poster Session (Non CME)
Presentation Type: Poster