Sistematização do reparo da hérnia inguinal laparoscópica (TAPP) baseada em um novo conceito anatômico: y invertido e cinco triângulos

Translated title of the contribution: Systemization of laparoscopic inguinal hernia repair (TAPP) based on a new anatomical concept: Inverted Y and five triangles

Marcelo Lopes Furtado, Christiano M.P. Claus, Leandro Totti Cavazzola, Flavio Malcher, Alexandre Bakonyi-Neto, Rogério Saad-Hossne

Research output: Contribution to journalArticle

Abstract

Background: Laparoscopic inguinal hernia repair has been shown to be superior than open repairs with faster return to daily activities and decrease in the occurrence of chronic pain. However, higher direct costs and mandatory use of general anesthesia are arguments against their use. In addition, increased complexity of surgery resulting from an anatomy that is unusual to general surgeons prevents the widespread adoption of laparoscopic approach. Aim: To propose a technical systematization for transabdominal laparoscopic repair (TAPP) of inguinal hernias based on anatomical concepts. Method: To offer a systematization of TAPP repair based on well defined anatomic landmarks, describing the concept of “inverted Y”, identification of five triangles and three zones of dissection, to achieve the “critical view of safety” for laparoscopic inguinal hernia repair. Results: Since this standardization was developed five years ago, many surgeons were trained following these precepts. Reproducibility is high, as far as, it´s rate of adoption among surgeons. Conclusion: The concept of the “inverted Y”, “Five triangles” and the dissection based in “Three Zones” establish an effective and reproducible standardization of the TAPP technique.

Original languagePortuguese
Article numbere1426
JournalArquivos Brasileiros de Cirurgia Digestiva
Volume32
Issue number1
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Inguinal Hernia
Herniorrhaphy
Laparoscopy
Dissection
Anatomic Landmarks
Chronic Pain
General Anesthesia
Anatomy
Safety
Costs and Cost Analysis
tetra-4-amidinophenoxypropane
Surgeons

Keywords

  • General surgery
  • Inguinal hernia
  • Laparoscopy
  • TAPP

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

Cite this

Sistematização do reparo da hérnia inguinal laparoscópica (TAPP) baseada em um novo conceito anatômico : y invertido e cinco triângulos. / Furtado, Marcelo Lopes; Claus, Christiano M.P.; Cavazzola, Leandro Totti; Malcher, Flavio; Bakonyi-Neto, Alexandre; Saad-Hossne, Rogério.

In: Arquivos Brasileiros de Cirurgia Digestiva, Vol. 32, No. 1, e1426, 01.01.2019.

Research output: Contribution to journalArticle

Furtado, Marcelo Lopes ; Claus, Christiano M.P. ; Cavazzola, Leandro Totti ; Malcher, Flavio ; Bakonyi-Neto, Alexandre ; Saad-Hossne, Rogério. / Sistematização do reparo da hérnia inguinal laparoscópica (TAPP) baseada em um novo conceito anatômico : y invertido e cinco triângulos. In: Arquivos Brasileiros de Cirurgia Digestiva. 2019 ; Vol. 32, No. 1.
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