腹腔镜全内脏囊分离技术体系——治疗腹壁疝的微创新理念
Endoscopic totally visceral sac separation for ventral hernias repair: a novel concept and its technical considera-tions
Received date: 2026-01-09
Online published: 2026-04-21
李炳根 . 腹腔镜全内脏囊分离技术体系——治疗腹壁疝的微创新理念[J]. 外科理论与实践, 2026 , 31(01) : 23 -31 . DOI: 10.16139/j.1007-9610.2026.01.05
The abdominal wall can be treated as a whole physiological and functional entity which is composed of multiple anatomical structures and planes. Surgical approaches and technical details that required for hernic repair are diverse in different area. Indeed, the abdominal wall is confined by several anatomical boundaries which make these surgical planes separated. If one could dissect these boundaries, then separated spaces could be connected, establishing an ample retromuscular/preperitoneal space to accommodate the mesh of ventral hernia repair. The concept of totally visceral sac separation (TVS) is achieved. The TVS concept is not just an isolated technique, but the summary of diverse ventral hernia repair techniques. The article reviewed the relevant anatomy as well as surgical details used in different types of ventral hernia. Meanwhile, the article highlighted the core essence of the TVS concept, in order to facilitate better implementation of TVS techniques by hernia colleagues.
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