Endoscopic transposition with the hernial sac (eTHS) in ventral hernia repair - technical description

ABSTRACT Incisional hernia is a late complication of the most frequent after abdominal surgeries, with resulting morbidity that can worsen condition. The treatment has been done both by open techniques, using screens or not, and laparoscopic robotic methods, which use them systematically. However, introducing permanent foreign body into tissues requires more surgical time, despite not closing parietal defect in cases higher risk infections. New technologies have trying to improve these results, absorbable prostheses (biological synthetic), but their high cost recurrences remain severe problem. Even so, standard repair establishes reinforcement screens, routine, whether approach traditional mini-invasive. authors report first case endoscopic incisional hernia, occurred two years ago, Brazilian technique already fifty old: transposition sac proposed Prof. Alcino Lázaro da Silva 1971.