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Endoscopic subcutaneous approach to components separation for suture closure and underlay mesh reinforcement of central ventral hernias

J Daes, MD, FACS
Epublication WebSurg.com, Jun 2013;13(06). URL: http://websurg.com/doi/vd01en3981

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  • 2013-06-11
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This video describes the technique for repair of central ventral defects by endoscopic subcutaneous component separation, suture closure of the central ventral defects using V-Loc™ suture and reinforcement of the reconstruction with an underlay composite mesh. Advantages of this approach are the preservation of abdominal wall dynamics with a low recurrence rate and fewer complications usually observed in other complex abdominal reconstructions such as seromas, hematomas, infection, pain, delayed recovery, and undesirable cosmetic results. The video shows the endoscopic subcutaneous component separation technique in detail as well as the identification and closure of the central ventral defect and the underlay placement of a composite mesh. CT-scan images of abdominal wall reconstruction at three months postoperatively are presented. In our first 6 cases, early clinical and CT-scan results were encouraging.