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- W4313341092 abstract "In recent years, surgeons have recognized small but finite risks of complications with the intraperitoneal location of mesh. This has encouraged them to devise a repair that can keep the mesh sandwiched between the layers of the abdominal wall. In the 1980s, Jean Rives and Rene Stoppa [1] described their technique of sublay mesh placement—open Rives-Stoppa (ORS) repair—which is a widely accepted procedure. Recent evidence has suggested that sublay mesh position with wide overlap and midline closure yields the best results with respect to restoration of biomechanics of the abdominal wall [2]. Laparoscopic sublay technique has been described by Schroeder et al. [3] but they had not included midline closure or posterior component separation in their procedure. Our technique of repair laparoscopic TARM [4] was developed since 2004, and was conceived in a rural private hospital setting, to serve as a low-cost and safe, minimally invasive alternative to laparoscopic intraperitoneal onlay mesh (IPOM) repair. The cost of composite mesh and fixation devices made the latter an unaffordable option for our patients. This paved a way for innovating a series of techniques to achieve sublay placement of a polypropylene mesh (PPM) like the ORS repair, along with midline closure and, the optional addition of posterior component separation by transversus abdominis release (TAR) [5]. Recent concerns of complications related to intraperitoneal location of mesh have made sublay placement a preferred option for many emerging laparo-endoscopic techniques like TARM, EMILOS [6], and eTEP [7]." @default.
- W4313341092 created "2023-01-06" @default.
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- W4313341092 date "2022-01-01" @default.
- W4313341092 modified "2023-09-26" @default.
- W4313341092 title "Laparoscopic Transabdominal Retromuscular (TARM) Repair for Ventral Hernia" @default.
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- W4313341092 doi "https://doi.org/10.1007/978-981-19-5248-7_12" @default.
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