"Hérnias complexas" da parede abdominal

Melo, Renata Marques de

doi:10.1590/s0100-69912013000200001

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“…Restoration of abdominal wall functionality can be achieved with the component separation technique. The expansion of the abdominal cavity can be done with progressive peneumoperitoneum, with the pharmacological blocking of the abdomen lateral musculature with the use of botulinum toxin or with the separation of components [6][7][8] . In view of all these peculiarities presented by bulky hernias, their treatment is still a challenge for surgeons 6 .…”

Section: Introductionmentioning

confidence: 99%

“…The expansion of the abdominal cavity can be done with progressive peneumoperitoneum, with the pharmacological blocking of the abdomen lateral musculature with the use of botulinum toxin or with the separation of components [6][7][8] . In view of all these peculiarities presented by bulky hernias, their treatment is still a challenge for surgeons 6 . Among the techniques mentioned, the concomitant use of a mesh and the separation of abdominal wall components presents potential advantages, as the components separation allows that all goals in the hernia treatment are achieved, that is, restoration of abdominal wall function, expansion of the abdominal cavity and tension reduction.…”

Section: Introductionmentioning

confidence: 99%

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Robotic Transversus Abdominis Release (TAR): is it possible to offer minimally invasive surgery for abdominal wall complex defects?

Amaral

Guimarães

Volpe³

et al. 2017

Rev. Col. Bras. Cir.

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We describe the preliminary national experience and the early results of the use of robotic surgery to perform the posterior separation of abdominal wall components by the Transversus Abdominis Release (TAR) technique for the correction of complex defects of the abdominal wall. We performed the procedures between 04/2/2015 and 06/15/2015 and the follow-up time was up to six months, with a minimum of two months. The mean surgical time was five hours and 40 minutes. Two patients required laparoscopic re-intervention, since one developed hernia by peritoneal migration of the mesh and one had mesh extrusion. The procedure proved to be technically feasible, with a still long surgical time. Considering the potential advantages of robotic surgery and those related to TAR and the results obtained when these two techniques are associated, we conclude that they seem to be a good option for the correction of complex abdominal wall defects.

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