Presentation is loading. Please wait.

Presentation is loading. Please wait.

Endoscopic Subcutaneous Approach to Component Separation

Published byHilary Carr Modified over 5 years ago

Similar presentations

Presentation on theme: "Endoscopic Subcutaneous Approach to Component Separation"— Presentation transcript:

1 Endoscopic Subcutaneous Approach to Component Separation
Jorge Daes, MD, FACS  Journal of the American College of Surgeons  Volume 218, Issue 1, Pages e1-e4 (January 2014) DOI: /j.jamcollsurg Copyright © 2014 American College of Surgeons Terms and Conditions

2 Figure 1 The semilunar line, lateral to the rectus abdominal muscle, is identified and marked on the skin bilaterally, under ultrasound guidance. Journal of the American College of Surgeons  , e1-e4DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

3 Figure 2 A balloon is introduced and is advanced over the anterior aponeurosis until the tip reaches the costal margin. The balloon is inflated at 2 levels using 8 to10 pumps. Journal of the American College of Surgeons  , e1-e4DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

4 Figure 3 The space is maintained with CO2 insufflation to a pressure of 10 mmHg. An additional 5-mm port is introduced lateral to the camera port. Journal of the American College of Surgeons  , e1-e4DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

5 Figure 4 The external oblique aponeurosis is incised lateral to the left semilunar line using the marking on the skin as guidance. Journal of the American College of Surgeons  , e1-e4DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

6 Figure 5 The extension of the component separation is shown. We have measured it to be more than 8 cm at the waistline. Journal of the American College of Surgeons  , e1-e4DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

7 Figure 6 Suture closure of a ventral hernia using a self-retaining continuous suture. Journal of the American College of Surgeons  , e1-e4DOI: ( /j.jamcollsurg ) Copyright © 2014 American College of Surgeons Terms and Conditions

Download ppt "Endoscopic Subcutaneous Approach to Component Separation"

Similar presentations

Hernia repair Rafael Gaszynski.

Hernia repair Rafael Gaszynski.
Comparative Efficacy of Bilateral Thoracoscopic Splanchnicectomy for Intractable Pain Secondary to Pancreatic Cancer vs Chronic Pancreatitis  Neal Bhutiani,

Comparative Efficacy of Bilateral Thoracoscopic Splanchnicectomy for Intractable Pain Secondary to Pancreatic Cancer vs Chronic Pancreatitis  Neal Bhutiani,
The Hartford Consensus: Survey of the Public and Healthcare Professionals on Active Shooter Events in Hospitals  Lenworth M. Jacobs, MD, MPH, FACS, Karyl.

The Hartford Consensus: Survey of the Public and Healthcare Professionals on Active Shooter Events in Hospitals  Lenworth M. Jacobs, MD, MPH, FACS, Karyl.
Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of.

Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of.
“Components separation technique” for the repair of large abdominal wall hernias  Tammo S de Vries Reilingh, MD, Harry van Goor, MD, PhD, Camiel Rosman,

“Components separation technique” for the repair of large abdominal wall hernias  Tammo S de Vries Reilingh, MD, Harry van Goor, MD, PhD, Camiel Rosman,
Endoscopic Ultrasound-Guided Transmural Drainage of Postoperative Pancreatic Collections  Amy Tilara, MD, Hans Gerdes, MD, Peter Allen, MD, FACS, William.

Endoscopic Ultrasound-Guided Transmural Drainage of Postoperative Pancreatic Collections  Amy Tilara, MD, Hans Gerdes, MD, Peter Allen, MD, FACS, William.
Development and Participant Assessment of a Practical Quality Improvement Educational Initiative for Surgical Residents  Morgan M. Sellers, BA, Kristi.

Development and Participant Assessment of a Practical Quality Improvement Educational Initiative for Surgical Residents  Morgan M. Sellers, BA, Kristi.
Five Hundred Seventy-Six Cases of Video-Assisted Thoracic Surgery Using Local Anesthesia and Sedation: Lessons Learned  Mark R. Katlic, MD, FACS  Journal.

Five Hundred Seventy-Six Cases of Video-Assisted Thoracic Surgery Using Local Anesthesia and Sedation: Lessons Learned  Mark R. Katlic, MD, FACS  Journal.
Trend in Volume of Urologic Prosthetic Surgery after Initiation of Prostate Cancer Survivorship Program  Alison M. Rasper, MD, Kara E. McAbee, MD, Marc.

Trend in Volume of Urologic Prosthetic Surgery after Initiation of Prostate Cancer Survivorship Program  Alison M. Rasper, MD, Kara E. McAbee, MD, Marc.
Min Soo Kim, MD, Jong Ho Cho, MD, PhD  The Annals of Thoracic Surgery 

Min Soo Kim, MD, Jong Ho Cho, MD, PhD  The Annals of Thoracic Surgery 
A Prospective Randomized Trial of Ultrasound- vs Landmark-Guided Central Venous Access in the Pediatric Population  Matias Bruzoni, MD, Bethany J. Slater,

A Prospective Randomized Trial of Ultrasound- vs Landmark-Guided Central Venous Access in the Pediatric Population  Matias Bruzoni, MD, Bethany J. Slater,
Simple Suturing Technique for Umbilical Dimple Wound after Single-Incision Laparoscopic Surgery  Yoichi Matsui, MD, PhD, Sohei Satoi, MD, PhD, FACS, Satoshi.

Simple Suturing Technique for Umbilical Dimple Wound after Single-Incision Laparoscopic Surgery  Yoichi Matsui, MD, PhD, Sohei Satoi, MD, PhD, FACS, Satoshi.
Procedure-Specific Trends in Surgical Outcomes

Procedure-Specific Trends in Surgical Outcomes
Freedom with Responsibility: A Consensus Strategy for Preventing Injury, Death, and Disability from Firearm Violence  Ronald M. Stewart, MD, FACS, Deborah.

Freedom with Responsibility: A Consensus Strategy for Preventing Injury, Death, and Disability from Firearm Violence  Ronald M. Stewart, MD, FACS, Deborah.
Mesh expansion and fixation at the recto-rectus plane through multiple stabs by using two tip hole needles in midline hernias repair. A prospective study 

Mesh expansion and fixation at the recto-rectus plane through multiple stabs by using two tip hole needles in midline hernias repair. A prospective study 
Vascular Trauma Revisited

Vascular Trauma Revisited
Reduced Postoperative Chronic Pain after Tension-Free Inguinal Hernia Repair Using Absorbable Sutures: A Single-Blind Randomized Clinical Trial  Igor.

Reduced Postoperative Chronic Pain after Tension-Free Inguinal Hernia Repair Using Absorbable Sutures: A Single-Blind Randomized Clinical Trial  Igor.
Exploring the Relationship Between Stereotype Perception and Residents' Well-Being  Arghavan Salles, MD, PhD, Claudia M. Mueller, PhD, MD, FACS, Geoffrey.

Exploring the Relationship Between Stereotype Perception and Residents' Well-Being  Arghavan Salles, MD, PhD, Claudia M. Mueller, PhD, MD, FACS, Geoffrey.
Minimally Invasive Whipple's Technique for Laparoscopic-Assisted Pylorus-Preserving Pancreaticoduodenectomy  Frederick Hong-Xiang Koh, MBBS, MRCSEd, Alfred.

Minimally Invasive Whipple's Technique for Laparoscopic-Assisted Pylorus-Preserving Pancreaticoduodenectomy  Frederick Hong-Xiang Koh, MBBS, MRCSEd, Alfred.
Lisa M. Kodadek, MD  Journal of the American College of Surgeons 

Lisa M. Kodadek, MD  Journal of the American College of Surgeons 

Similar presentations

Ads by Google