Hybrid Transvaginal Incisional Hernia Repair

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dc.authoridsoyer, haci vural/0000-0003-4271-7467
dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.authorwosidsoyer, haci vural/KAM-0073-2024
dc.contributor.authorKayaalp, Cuneyt
dc.contributor.authorYagci, Mehmet Ali
dc.contributor.authorSoyer, Vural
dc.date.accessioned2024-08-04T20:39:45Z
dc.date.available2024-08-04T20:39:45Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: Natural orifice translumenal endoscopic surgery (NOTES (R); American Society for Gastrointestinal Endoscopy [Oak Brook, IL] and Society of American Gastrointestinal and Endoscopic Surgeons [Los Angeles, CA]) is a new approach that allows surgical manipulations and specimen extractions through the natural orifices such as the vagina. There have been limited numbers of cases about the adaptation of NOTES for ventral hernia repairs. Here, we aimed to present two more cases and highlight our technical differences compared with the previously reported instances. Patients and Methods: Two patients (43 and 46 years old; body mass index of 29 and 30 kg/m(2), respectively) were treated with hybrid transvaginal incisional hernia repairs. Two 5-mm abdominal trocars were used to monitor transvaginal access, adhesiolysis, dissection of the hernia, and tuckering of the mesh. A 15-mm transvaginal trocar was used for scope and mesh introduction into the abdomen. Defects were 3-5 cm in diameter. Results: A rigid 5-mm laparoscope was used. The composite synthetic meshes were, respectively, 11 and 13 cm in diameter. These were passed through the vagina without any protection such as a bag or sheath. No conversion or additional port was required. Respective operative times were 120 and 180 minutes, and the patients were discharged uneventfully on the second day. One patient had seroma, which was managed conservatively (aspiration of 20 mL on Day 7). There were no recurrences after 7 and 13 months, respectively. Conclusions: Conventional laparoscopic equipment can be used for hybrid transvaginal incisional hernia repair. An anti-adhesive synthetic mesh can be inserted through the vaginal trocar without protective devices. The main advantage of this technique is to avoid 10-15-mm abdominal trocars, which increase the risk of trocar-site hernias themselves.en_US
dc.identifier.doi10.1089/lap.2014.0103
dc.identifier.endpage501en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue7en_US
dc.identifier.pmid24844529en_US
dc.identifier.scopus2-s2.0-84903776642en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage497en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2014.0103
dc.identifier.urihttps://hdl.handle.net/11616/96493
dc.identifier.volume24en_US
dc.identifier.wosWOS:000339153100011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTrocar-Site Herniaen_US
dc.subjectVentral Herniaen_US
dc.titleHybrid Transvaginal Incisional Hernia Repairen_US
dc.typeArticleen_US

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