Minimally invasive sublay mesh repair of incisional and primary abdominal wall hernias using the MILOS technique

Milos for the Treatment of Primary Defects of the Media Line

“…11 La técnica de Milos ha sido comparada con la técnica de sublay abierta y la técnica IPOM laparoscópica, presentando menor índice de dolor post crónico operatorio, reintervenciones y recurrencias demostrando resultados alentadores. 10 En nuestra serie se han observado baja morbilidad y dolor post operatorio mínimo.…”

“…La reparación de MILOS permite la colocación de una malla grande en el espacio retromuscular, preperitoneal y la reconstrucción anatómica de la pared abdominal a través de una pequeña incisión, además se evita un trauma importante en la pared abdominal. 10…”

Vasomotor changes in abdominal skin after endoscopic subcutaneous/Preaponeurotic Repair of Diastasis Recti (REPA)

“…Before the description of preaponeurotic endoscopic repair of diastasis recti (REPA) by Derlin Juarez Muas [ 6 ], the approach to this condition usually consisted in an “open” surgery, frequently combining the plication of the anterior fascia with an abdominoplasty. Other open, hybrid or endoscopic procedures have been used to treat this condition [ [6] , [7] , [8] , [9] , [10] , [11] , [12] , [13] ] but, due to the low cost, the avoidance of an expensive mesh with anti-adhesive barriers, its technical simplicity, the need for few ports and other advantages of REPA, it has gained popularity. Among the reported complications or adverse effects are seroma, skin burns, umbilicus site infection and some other side effects such as numbness or paresthetic sensations in the abdominal skin [ 6 , 9 ].…”

Behind and beyond surgery

“…Thus I refer to his Editorial leading the brilliant firework of surgical science [1]. In summarizing the topics of the 39th Annual International Congress of the European Hernia Society, held 24-27 May 2017, in Vienna, Austria -congress president: Rene H. Fortelny, I hope to motivate you to attend the high-quality international scientific meeting [2][3][4][5][6]. Finally, articles in this issue of European Surgery describe novelties regarding esophagogastric (gastric tube formation) [7], colorectal (mortality after emergency surgery) [8], and minimally invasive surgery (two-trocar appendectomy) [9].…”