


Volume 20 No 20 (2022)
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Overview of Abdominal Wall Hernias and Laparoscopic Transabdominal Retro Muscular (TARM) Repair
John Adel Sedkey, Osama Hassan Gharib, Islam Mohamed Mohamed, Mahmoud AbdouYassin, IhabKadryMorhem
Abstract
The anterolateral muscles of abdomen act as a strong barrier enclosing the abdominal
viscera, maintaining the intra-abdominal pressure, and assisting in respiration.A protrusion
of a viscus or portion of a viscus through a hole in the abdominal wall is known as an
external hernia. The two main categories are aetiology and location. Primary ventral hernias
can occur (umbilical, epigastric, Spigelian, obturator, or lumbar hernias). Ventral wall hernias
are often treated surgically, either through an open repair through a skin incision or through
a laparoscopic procedure (herniotomy, herniorrhaphy, or hernioplasty). Due to the risks
associated with intraperitonealonlay mesh repair for ventral hernias, open Rives-Stoppa
surgery is preferred over sublay mesh implantation (ORS). Using a polypropylene mesh
(PPM) with sublay, midline closure, and the addition of posterior component separation
(PCS) by transversusabdominis release, a low-cost laparoscopic trans-abdominal repair was
required (TAR). Therefore, the aim of the present study to review abdominal wall hernias
managed using laparoscopic transabdominal retro muscular (TARM) repair.
Keywords
Ventral wall hernias; hernialrepair ; laparoscopic transabdominal retro muscular
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