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Inguinal single-port approach of endoscopic component separation for abdominal wall defects: A case series
| 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 |
| URI: | http://hdl.handle.net/2115/87370 |
| 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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