Scholarlink

Purpose <p>The eTEP Rives-Stoppa repair is effective but technically challenging without robotics. To address these hurdles, we introduced the Single-Incision Laparoscopic Surgery Plus Rives-Stoppa (SILS Plus-RS) method. This hybrid technique creates the initial working space under direct vision to facilitate secure access. This study evaluates the safety, long-term efficacy, and flexibility of SILS Plus-RS for ventral hernias.</p> Methods <p>This retrospective, single-center study analyzed 100 consecutive patients (91 incisional, 9 primary hernias) undergoing SILS Plus-RS between December 2016 and March 2025. Patients with loss of domain were excluded. The procedure utilizes a single-incision device for retromuscular access and allows for a flexible "hybrid" strategy, employing strategic port addition or open conversion to ensure safety.</p> Results <p>Mean age was 67.4&#xa0;years; mean BMI was 25.6&#xa0;kg/m<sup>2</sup>. Transversus Abdominis Release (TAR) was performed in 74% to ensure tension-free closure. Median operative time was 203.6&#xa0;min. Reflecting the technique's flexibility, additional ports were used in 14 cases, and 6 cases were converted to a hybrid open approach. Median follow-up was 33&#xa0;months (range: 10–110&#xa0;months), with a recurrence rate of 2.0%. Early complications (&lt; 90&#xa0;days) occurred in 6.0% (3 SSIs, 2 seromas, 1 fistula). Chronic pain (5.0%) resolved within one year in all patients.</p> Conclusion <p>SILS Plus-RS is a safe and durable procedure with low recurrence and complication rates comparable to eMILOS. By bridging the gap between open and laparoscopic surgery, its inherent flexibility ensures broad applicability, making it a valuable option in non-robotic environments.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

SILS plus-rives stoppa repair for abdominal wall reconstruction: a hybrid procedure of eTEP and open surgery — results of initial 100 cases

  • 期刊论文

  • 发表日期：

    2026年3月21日

查看全文
  • Takeshi Nagahama

摘要

Purpose

The eTEP Rives-Stoppa repair is effective but technically challenging without robotics. To address these hurdles, we introduced the Single-Incision Laparoscopic Surgery Plus Rives-Stoppa (SILS Plus-RS) method. This hybrid technique creates the initial working space under direct vision to facilitate secure access. This study evaluates the safety, long-term efficacy, and flexibility of SILS Plus-RS for ventral hernias.

Methods

This retrospective, single-center study analyzed 100 consecutive patients (91 incisional, 9 primary hernias) undergoing SILS Plus-RS between December 2016 and March 2025. Patients with loss of domain were excluded. The procedure utilizes a single-incision device for retromuscular access and allows for a flexible "hybrid" strategy, employing strategic port addition or open conversion to ensure safety.

Results

Mean age was 67.4 years; mean BMI was 25.6 kg/m2. Transversus Abdominis Release (TAR) was performed in 74% to ensure tension-free closure. Median operative time was 203.6 min. Reflecting the technique's flexibility, additional ports were used in 14 cases, and 6 cases were converted to a hybrid open approach. Median follow-up was 33 months (range: 10–110 months), with a recurrence rate of 2.0%. Early complications (< 90 days) occurred in 6.0% (3 SSIs, 2 seromas, 1 fistula). Chronic pain (5.0%) resolved within one year in all patients.

Conclusion

SILS Plus-RS is a safe and durable procedure with low recurrence and complication rates comparable to eMILOS. By bridging the gap between open and laparoscopic surgery, its inherent flexibility ensures broad applicability, making it a valuable option in non-robotic environments.