Abstract

AGUILA GOMEZ, Mauricio Vicente. PRE-APONEUROTIC ENDOSCOPIC REPAIR (R.E.P.A.): AN ALTERNATIVE IN ABDOMINAL RECTI DIASTASIS. Rev. Méd. La Paz [online]. 2024, vol.30, n.1, pp.33-40.  Epub June 30, 2024. ISSN 1726-8958.

Diastasis rectus abdominis (RD) is the disjunction of inner edges. Our objective is to present a series of cases surgically operated employing R.E.P.A. technique in the treatment of rectal diastasis associated to midline defects. A prospective observational interventional study, from April 2018 to December 2019 was conducted. 15 patients (73% women and 27% men) with a mean age of 48 years were operated, the diagnosis of frequent admission was primary RD (n=9, 60%), the ultrasound measurement of RD was <59mm (10 cases, 66.6%). The mean surgical time was 130 min, 1 conversion to open surgery, hospital staying was 1.5 days and local postoperative events were 2 cases of seroma (50%). In conclusion, R.E.P.A. is feasible and safe to perform, does not require many supplies, allows to install prosthetic material, meets the benefits of video endoscopic surgery, it is a basic endoscopic technique and the learning curve is not difficult.

Keywords : diastasis; endoscopy; polypropylene mesh.

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