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Inguinal single-port approach of endoscopic component separation for abdominal wall defects: A case series

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Title: Inguinal single-port approach of endoscopic component separation for abdominal wall defects: A case series
Authors: Miyasaka, Mamoru Browse this author
Kawarada, Yo Browse this author
Yamamura, Yoshiyuki Browse this author
Kitashiro, Shuji Browse this author
Okushiba, Shunichi Browse this author →KAKEN DB
Hirano, Satoshi Browse this author →KAKEN DB
Keywords: endoscopic component separation
single port
inguinal incision
abdominal wall defect
case series
Issue Date: Oct-2022
Publisher: Elsevier
Journal Title: Annals of medicine and surgery
Volume: 82
Start Page: 104611
Publisher DOI: 10.1016/j.amsu.2022.104611
Abstract: Background: The component separation (CS) technique is widely used for abdominal wall defects, particularly in infected wounds. CS is associated with many wound complications due to subcutaneous blood flow disturbance. Endoscopic component separation (ECS) has fewer wound complications compared to CS and has been per-formed recently. However, there are various port required placements for ECS, and this technique requires proficiency. One approach for ECS is the inguinal single-port approach, which can be performed from an inguinal incision similar to that used in open surgery for inguinal hernias.Case presentation: We performed ECS with an inguinal single-port approach in three older adults. All patients had abdominal wall defects with infection at the central abdominal wound site. A 2-3-cm incision was created in the middle of the inguinal ligament, and a single-port surgical device with two 5-mm trocars was placed in the incision. The external oblique muscle was separated from the internal oblique muscle, and the external oblique aponeurosis was released. The muscle flap of the abdominal wall was moved to the central line. Tension-free abdominal wall closure was possible using a one-handed approach.Conclusions: ECS, which has fewer wound complications, requires proficiency. This procedure is a simple and easy-to-perform procedure using an inguinal incision that surgeons are familiar with.
Type: article
Appears in Collections:医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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