V-012 MADRID-PCS. STEP BY STEP E-TEP APPROACH

Abstract Aim To show the steps involved in Madrid Modification of posterior component separation (PCS) by e-TEP approach. Material and Methods We present a case patient with lateral incisional hernia (L3W1) associated primary umbilical ipsilateral groin hernia. The repair that allows treatment all defects wide prosthetic coverage wall reinforcement is PCS, performed this according to modification. Due presence risk factors for surgical site occurrences such as obesity, we decided perform totally extraperitoneal minimally invasive approach (e-TEP) step-by-step procedure shown. Conclusions Minimally surgery has become standard many abdominal pathologies. Since description technique 2017, its growth development been exponential, progressively expanding large other locations; being especially indicated versus open patients events. Likewise, PCS described 2012 Novitsky extended recent years now gold complex hernias. From group, modifications have proposed. video combines modification surgery, visualizing using