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European Surgery

, Volume 49, Issue 2, pp 59–64 | Cite as

Minimally invasive sublay mesh repair of incisional and primary abdominal wall hernias using the MILOS technique

  • W. ReinpoldEmail author
  • M. Schröder
  • A. Schröder
  • C. Berger
  • J. Nehls
  • W. Stoltenberg
  • F. Köckerling
original article

Summary

Introduction

Primary ventral and incisional hernia repair is a routine operation in general surgery. The most widely used techniques, however, have some disadvantages and risks. In order to minimize complications and postoperative pain, we developed the endoscopically assisted mini and less open sublay (MILOS) operation.

Methods

The surgical steps of this novel technique are described here. The operation is performed via a small incision transhernially with light-armed laparoscopic instruments either under direct visualization or endoscopic view. After creating an extraperitoneal space of at least 8 cm and CO2 insufflation, total extraperitoneal preperitoneal mesh repair (TEP) of ventral and incisional hernias can be performed.

Results

The results and complication rates of 715 MILOS operations for incisional hernias are presented. The data of all MILOS operations were prospectively documented in the German hernia database “Herniamed.”

Conclusion

The MILOS technique facilitates minimally invasive transhernial repair of primary ventral and incisional hernias using large retromuscular/preperitoneal meshes; the technique is associated with a very low morbidity rate and with less chronic pain.

Keywords

Incisional hernia Ventral hernia Minimally invasive sublay repair Endoscopic ventral hernia repair Sublay technique Total extraperitoneal preperitoneal repair Endoscopic retromuscular hernia repair 

Notes

Conflict of interest

W. Reinpold, M. Schröder, A. Schröder, C. Berger, J. Nehls, W. Stoltenberg, and F. Köckerling declare that they have no competing interests.

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Copyright information

© Springer-Verlag Wien 2017

Authors and Affiliations

  • W. Reinpold
    • 1
    Email author
  • M. Schröder
    • 1
  • A. Schröder
    • 1
  • C. Berger
    • 1
  • J. Nehls
    • 1
  • W. Stoltenberg
    • 1
  • F. Köckerling
    • 2
  1. 1.Department of Surgery and Reference Hernia CenterGross Sand Hospital Hamburg WilhelmsburgHamburgGermany
  2. 2.Department of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical SchoolVivantes HospitalBerlinGermany

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