This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Sean B Orenstein during the Devil’s in the Details: MIS Retrorectus Approaches on April 13 2018
Keyword(s): abdominal wall, abdominal wall compliance, acute setting, acute trauma, anatomical defect, anatomy, cadaver lab, costal margin, CT scan, database, debridement, deinnervation, destabilization, Devils in the Details: MIS Retrorectus Approaches, diabetic, diaphragm, dissection, excision, external oblique release, flank hernia, gold standard, hernia defect, hybrid approach, hypermetabolic, incisional hernia, indications, intramuscular, laparoscopic hernia repair, laparoscopic IPOM repair, laparoscopy, linea semilunaris, malnourished, mentoring, mesh, mesh fixation, midline, minimally invasive, myofascial, neurovascular bundle, obese, open technique, open ventral hernia repair, ostomy, paraspinous muscle, parastomal hernia, perforated bowel, posterior component separation, pre-peritoneal, recurrence rate, reinforcement, retromuscular approach, retrorectus, retrorectus Rives-Stoppa repair, robotic hernia repair, robotics, sarcopenia, shadowing, skill set, skin graft, smokers, SQ, SSI, sternotomy, sternum, subcutaneous, subxiphoid, subxiphoid defect, suprapubic hernia, surgical site infection, TAR, tension, transversus abdominis release, ulcer, ventral hernia, visceral fat, visceral sac, wound morbidity, wound pathology, xiphoid process
Options for AWR–20 sec
Rives-Stoppa retrorectus repair–37 sec JACS 2006
Rives-Stoppa modifications–1:07 Am J Surg 2012
Indications for TAR–2:00
CT-specific considerations–3:19
Subxiphoid defect–4:45
Open vs MIS TAR–5:43
When to avoid TAR–7:46
Other considerations–9:11
Posterior after anterior components separation–9:36 Hernia 2015
Complication: semilunar line disruption–11:04
Citation–11:21 Ann Surg 2016
Conclusion–11:45