A visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repair
Objective: To explore a method of visually establishing preperitoneal space. In this paper, the procedure is described in detail and its safety and efficacy evaluated. Methods: A retrospective style was adopted. The clinical data of 33 patients who accepted the total visceral sac separation (TVS) pr...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-10-01
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| Series: | Asian Journal of Surgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958423003251 |
| _version_ | 1797669993829105664 |
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| author | Bo Zhuang Changzhen Lei Kai Yu Daojun Gong Shian Yu |
| author_facet | Bo Zhuang Changzhen Lei Kai Yu Daojun Gong Shian Yu |
| author_sort | Bo Zhuang |
| collection | DOAJ |
| description | Objective: To explore a method of visually establishing preperitoneal space. In this paper, the procedure is described in detail and its safety and efficacy evaluated. Methods: A retrospective style was adopted. The clinical data of 33 patients who accepted the total visceral sac separation (TVS) procedure from December 2019 to November 2021 were collected. Observation indices included location and area of abdominal defect; surgical method and duration of operation to establish preperitoneal space and any postoperative complications; developments during follow-up. Follow-up was performed up to December 2021 using outpatient examination and telephone interview to detect any complications of incision or recurrence of ventral hernia. Results: For operative indices, all patients underwent the TVS procedure successfully except for one who had to be converted to laparoscopic intraperitoneal onlay mesh (IPOM) due to failure to establish preperitoneal space. The time required to establish preperitoneal space was 185.75 ± 44.37 s and the duration of hospital stay was 8.27 ± 1.42 days. No complications, such as abdominal bleeding or digestive tract injury, occurred during hospitalization. No complications of incision were observed during follow up, which lasted 2–24 months with an average of 7 months. Conclusions: Preliminary results of the novel attempt to establish the preperitoneal space visually confirmed this to be a safe and feasible method. However, the sample size used here was small, with a short follow up. The details and notes need to be further discussed. |
| first_indexed | 2024-03-11T20:53:05Z |
| format | Article |
| id | doaj.art-cbddd72405f9426d8688d206fcee9e94 |
| institution | Directory Open Access Journal |
| issn | 1015-9584 |
| language | English |
| last_indexed | 2024-03-11T20:53:05Z |
| publishDate | 2023-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Surgery |
| spelling | doaj.art-cbddd72405f9426d8688d206fcee9e942023-10-01T05:57:38ZengElsevierAsian Journal of Surgery1015-95842023-10-01461043894393A visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repairBo Zhuang0Changzhen Lei1Kai Yu2Daojun Gong3Shian Yu4Corresponding author. No. 351 Mingyue street, Wucheng District, Jinhua, 321000, China.; Department of General Surgery, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaDepartment of General Surgery, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaDepartment of General Surgery, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaDepartment of General Surgery, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaDepartment of General Surgery, Jinhua Hospital, Zhejiang University School of Medicine, Jinhua, ChinaObjective: To explore a method of visually establishing preperitoneal space. In this paper, the procedure is described in detail and its safety and efficacy evaluated. Methods: A retrospective style was adopted. The clinical data of 33 patients who accepted the total visceral sac separation (TVS) procedure from December 2019 to November 2021 were collected. Observation indices included location and area of abdominal defect; surgical method and duration of operation to establish preperitoneal space and any postoperative complications; developments during follow-up. Follow-up was performed up to December 2021 using outpatient examination and telephone interview to detect any complications of incision or recurrence of ventral hernia. Results: For operative indices, all patients underwent the TVS procedure successfully except for one who had to be converted to laparoscopic intraperitoneal onlay mesh (IPOM) due to failure to establish preperitoneal space. The time required to establish preperitoneal space was 185.75 ± 44.37 s and the duration of hospital stay was 8.27 ± 1.42 days. No complications, such as abdominal bleeding or digestive tract injury, occurred during hospitalization. No complications of incision were observed during follow up, which lasted 2–24 months with an average of 7 months. Conclusions: Preliminary results of the novel attempt to establish the preperitoneal space visually confirmed this to be a safe and feasible method. However, the sample size used here was small, with a short follow up. The details and notes need to be further discussed.http://www.sciencedirect.com/science/article/pii/S1015958423003251HerniorrhaphyPreperitoneal spaceTotally visceral sac separationVentral herniaVisualization |
| spellingShingle | Bo Zhuang Changzhen Lei Kai Yu Daojun Gong Shian Yu A visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repair Asian Journal of Surgery Herniorrhaphy Preperitoneal space Totally visceral sac separation Ventral hernia Visualization |
| title | A visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repair |
| title_full | A visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repair |
| title_fullStr | A visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repair |
| title_full_unstemmed | A visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repair |
| title_short | A visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repair |
| title_sort | visual method of establishing preperitoneal space for totally visceral sac separation in ventral hernia repair |
| topic | Herniorrhaphy Preperitoneal space Totally visceral sac separation Ventral hernia Visualization |
| url | http://www.sciencedirect.com/science/article/pii/S1015958423003251 |
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