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Inicio Cirugía Española Expanding indication of laparoscopic intracorporeal rectus aponeuroplasty (LIRA)...
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Vol. 100. Issue 10.
Pages 641-643 (October 2022)
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Vol. 100. Issue 10.
Pages 641-643 (October 2022)
Innovation in surgical technique
Expanding indication of laparoscopic intracorporeal rectus aponeuroplasty (LIRA) to suprapubic area: LIRA & TAPE
Indicación extendida de la aponeuroplastia intracorpórea de rectos laparoscópica (LIRA) al área suprapúbica: LIRA & TAPE
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Sebastián Jeri-McFarlanea,1,
Corresponding author
sebastian.jeri@ssib.es

Corresponding author.
, Paula Gómez-Vallesb,1, Julio Gomez-Mencheroc,1, María Sánchez-Ramírezd,1, Salvador Morales-Condee,1
a Department of General & Digestive Surgery, Hospital Universitario Son Espases, Palma de Mallorca, Spain
b Department of General & Digestive Surgery, Hospital Clínico Virgen de la Arrixaca, Murcia, Spain
c Department General & Digestive Surgery, Hospital General Básico de Riotinto, Huelva, Spain
d Department General & Digestive Surgery, Hospital Universitario Juan Ramón Jimenez, Huelva, Spain
e Unit of Innovation in Minimally Invasive Surgery, Upper IG & Bariatric Surgery, Department of General & Digestive Surgery, University Hospital Virgen del Rocío, Seville, Spain
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Abstract

Laparoscopic intracorporeal rectus aponeuroplasty (LIRA) is a minimally invasive technique described to repair M2–M4 primary and incisional hernias. Defects below this area (M5 – Suprapubic area) could be treated using the concept associated to LIRA, expanding the indication of this technique in combination with a transabdominal partially extraperitoneal (TAPE) repair. The aim of this video is to show the surgical steps in the combination of LIRA & TAPE for M2–M5 ventral hernias.

Keywords:
LIRA technique
Extraperitoneal repair
Laparoscopy
Ventral hernia
Incisional hernia
Defect closure
Mesh
Resumen

La aponeuroplastia intracorpórea de rectos laparoscópica (LIRA) es una técnica mínimamente invasiva para la reparación de las hernias incisionales de M2 a M4. Los defectos por debajo de esta zona (M5 – área suprapúbica) se pueden reparar mediante una indicación extendida de LIRA combinada con la reparación transabdominal parcialmente extraperitoneal (TAPE).

El objetivo de este video es demostrar los pasos quirúrgicos en la combinación de LIRA & TAPE para hernias ventrales de M2 a M5.

Palabras clave:
Técnica LIRA
Reparación extraperitoneal
Laparoscopia
Hernia ventral
Hernia incisional
Malla

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