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 language | Portuguese |
|---|---|
| Article number | e1426 |
| Journal | Arquivos Brasileiros de Cirurgia Digestiva |
| Volume | 32 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2019 |
| Externally published | Yes |
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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 journal › Article
}
TY - JOUR
T1 - Sistematização do reparo da hérnia inguinal laparoscópica (TAPP) baseada em um novo conceito anatômico
T2 - y invertido e cinco triângulos
AU - Furtado, Marcelo Lopes
AU - Claus, Christiano M.P.
AU - Cavazzola, Leandro Totti
AU - Malcher, Flavio
AU - Bakonyi-Neto, Alexandre
AU - Saad-Hossne, Rogério
PY - 2019/1/1
Y1 - 2019/1/1
N2 - 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.
AB - 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.
KW - General surgery
KW - Inguinal hernia
KW - Laparoscopy
KW - TAPP
UR - http://www.scopus.com/inward/record.url?scp=85061504059&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85061504059&partnerID=8YFLogxK
U2 - 10.1590/0102-672020180001e1426
DO - 10.1590/0102-672020180001e1426
M3 - Article
C2 - 30758474
AN - SCOPUS:85061504059
VL - 32
JO - Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
JF - Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery
SN - 0102-6720
IS - 1
M1 - e1426
ER -