Laparoscopic Transversus Abdominis Release, a Novel Minimally Invasive Approach to Complex Abdominal Wall Reconstruction

Igor Belyansky, H. Reza Zahiri, Adrian Park

Research output: Contribution to journalArticle

Abstract

Background. Open abdominal wall reconstruction is used to repair complex abdominal wall hernias with contour abnormalities. We present a novel minimally invasive approach to address these types of defects, completed entirely laparoscopically. Methods. Three patients underwent laparoscopic abdominal wall reconstruction for complex hernias in August and September of 2015. Operative approach consisted of laparoscopic transversus abdominis components separation, defect closure, and wide mesh implantation in the retromuscular space. Results. Two males and one female with mean age and body mass index of 70 and 30.1, respectively, underwent a mean operation room time of 329 minutes. Estimated blood loss and length of stay were 91.7 cc and 4.7 days, respectively. No subcutaneous flaps were raised avoiding the need for subcutaneous drains. There were no perioperative complications. All of the subfascial drains were removed prior to patient discharge. On initial follow-up visit at 3 weeks, there was no evidence of wound complications, bulging, or hernia recurrences. Conclusion. Laparoscopic abdominal wall reconstruction with transversus abdominis release is a unique and feasible approach to complex abdominal wall defects with the potential to reduce pain, facilitate recovery, and decrease length of hospital stay for patients.

Original languageEnglish (US)
Pages (from-to)134-141
Number of pages8
JournalSurgical Innovation
Volume23
Issue number2
DOIs
StatePublished - Apr 1 2016
Externally publishedYes

Fingerprint

Abdominal Muscles
Abdominal Wall
Length of Stay
Hernia
Abdominal Hernia
Patient Discharge
Body Mass Index
Recurrence
Pain
Wounds and Injuries

Keywords

  • abdominal wall reconstruction
  • evidence-based medicine/surgery
  • hernias
  • TAR
  • transversus abdominis release

ASJC Scopus subject areas

  • Surgery

Cite this

Laparoscopic Transversus Abdominis Release, a Novel Minimally Invasive Approach to Complex Abdominal Wall Reconstruction. / Belyansky, Igor; Zahiri, H. Reza; Park, Adrian.

In: Surgical Innovation, Vol. 23, No. 2, 01.04.2016, p. 134-141.

Research output: Contribution to journalArticle

@article{42d3535e7cce4a588550c8a7d5056563,
title = "Laparoscopic Transversus Abdominis Release, a Novel Minimally Invasive Approach to Complex Abdominal Wall Reconstruction",
abstract = "Background. Open abdominal wall reconstruction is used to repair complex abdominal wall hernias with contour abnormalities. We present a novel minimally invasive approach to address these types of defects, completed entirely laparoscopically. Methods. Three patients underwent laparoscopic abdominal wall reconstruction for complex hernias in August and September of 2015. Operative approach consisted of laparoscopic transversus abdominis components separation, defect closure, and wide mesh implantation in the retromuscular space. Results. Two males and one female with mean age and body mass index of 70 and 30.1, respectively, underwent a mean operation room time of 329 minutes. Estimated blood loss and length of stay were 91.7 cc and 4.7 days, respectively. No subcutaneous flaps were raised avoiding the need for subcutaneous drains. There were no perioperative complications. All of the subfascial drains were removed prior to patient discharge. On initial follow-up visit at 3 weeks, there was no evidence of wound complications, bulging, or hernia recurrences. Conclusion. Laparoscopic abdominal wall reconstruction with transversus abdominis release is a unique and feasible approach to complex abdominal wall defects with the potential to reduce pain, facilitate recovery, and decrease length of hospital stay for patients.",
keywords = "abdominal wall reconstruction, evidence-based medicine/surgery, hernias, TAR, transversus abdominis release",
author = "Igor Belyansky and Zahiri, {H. Reza} and Adrian Park",
year = "2016",
month = "4",
day = "1",
doi = "10.1177/1553350615618290",
language = "English (US)",
volume = "23",
pages = "134--141",
journal = "Surgical Innovation",
issn = "1553-3506",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - Laparoscopic Transversus Abdominis Release, a Novel Minimally Invasive Approach to Complex Abdominal Wall Reconstruction

AU - Belyansky, Igor

AU - Zahiri, H. Reza

AU - Park, Adrian

PY - 2016/4/1

Y1 - 2016/4/1

N2 - Background. Open abdominal wall reconstruction is used to repair complex abdominal wall hernias with contour abnormalities. We present a novel minimally invasive approach to address these types of defects, completed entirely laparoscopically. Methods. Three patients underwent laparoscopic abdominal wall reconstruction for complex hernias in August and September of 2015. Operative approach consisted of laparoscopic transversus abdominis components separation, defect closure, and wide mesh implantation in the retromuscular space. Results. Two males and one female with mean age and body mass index of 70 and 30.1, respectively, underwent a mean operation room time of 329 minutes. Estimated blood loss and length of stay were 91.7 cc and 4.7 days, respectively. No subcutaneous flaps were raised avoiding the need for subcutaneous drains. There were no perioperative complications. All of the subfascial drains were removed prior to patient discharge. On initial follow-up visit at 3 weeks, there was no evidence of wound complications, bulging, or hernia recurrences. Conclusion. Laparoscopic abdominal wall reconstruction with transversus abdominis release is a unique and feasible approach to complex abdominal wall defects with the potential to reduce pain, facilitate recovery, and decrease length of hospital stay for patients.

AB - Background. Open abdominal wall reconstruction is used to repair complex abdominal wall hernias with contour abnormalities. We present a novel minimally invasive approach to address these types of defects, completed entirely laparoscopically. Methods. Three patients underwent laparoscopic abdominal wall reconstruction for complex hernias in August and September of 2015. Operative approach consisted of laparoscopic transversus abdominis components separation, defect closure, and wide mesh implantation in the retromuscular space. Results. Two males and one female with mean age and body mass index of 70 and 30.1, respectively, underwent a mean operation room time of 329 minutes. Estimated blood loss and length of stay were 91.7 cc and 4.7 days, respectively. No subcutaneous flaps were raised avoiding the need for subcutaneous drains. There were no perioperative complications. All of the subfascial drains were removed prior to patient discharge. On initial follow-up visit at 3 weeks, there was no evidence of wound complications, bulging, or hernia recurrences. Conclusion. Laparoscopic abdominal wall reconstruction with transversus abdominis release is a unique and feasible approach to complex abdominal wall defects with the potential to reduce pain, facilitate recovery, and decrease length of hospital stay for patients.

KW - abdominal wall reconstruction

KW - evidence-based medicine/surgery

KW - hernias

KW - TAR

KW - transversus abdominis release

UR - http://www.scopus.com/inward/record.url?scp=84962565894&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84962565894&partnerID=8YFLogxK

U2 - 10.1177/1553350615618290

DO - 10.1177/1553350615618290

M3 - Article

VL - 23

SP - 134

EP - 141

JO - Surgical Innovation

JF - Surgical Innovation

SN - 1553-3506

IS - 2

ER -