%0 Journal Article
%T Hernioplastia laparosc¨®pica totalmente extraperitoneal com tela 3-D sem fixa  o: t¨¦cnica de Dulucq Laparoscopic totally extraperitoneal hernioplasty with nonfixation of three-dimensional mesh: Dulucq's technique
%A Alberto Meyer
%A Jean-louis Dulucq
%A Ahmad Mahajna
%J ABCD. Arquivos Brasileiros de Cirurgia Digestiva (S£¿o Paulo)
%D 2013
%I Col¨¦gio Brasileiro de Cirurgia Digestiva
%X INTRODU  O: A repara  o da h¨¦rnia inguinal tem sido ¨¢rea controversa na pr¨¢tica cir¨²rgica, desde que desde que ela foi concebida. O fato de que in¨²meros procedimentos diferentes est o em uso reflete a complexidade de h¨¦rnia inguinal e seu reparo. OBJETIVO: Descrever a t¨¦cnica de Dulucq e as modifica  es do uso da tela 3-D na corre  o de h¨¦rnia inguinal laparosc¨®pica totalmente extraperitoneal. M¨¦TODOS: A t¨¦cnica da corre  o da h¨¦rnia laparosc¨®pica totalmente extraperitoneal ¨¦ detalhada no texto. CONCLUS O: Corre  o laparosc¨®pica totalmente extraperitoneal ¨¦ prefer¨ªvel ¨¤ corre  o de h¨¦rnias transabdominais pr¨¦-peritoneais porque o perit nio n o ¨¦ violado. A dissec  o deve ser sempre realizada nos mesmos passos, sem utilizar caut¨¦rio monopolar e o paciente em leve posi  o de Trendelemburg. Com estas recomenda  es, a hernioplastia laparosc¨®pica totalmente extraperitoneal ¨¦ fact¨ªvel com poucas complica  es intra-abdominais. INTRODUCTION: The inguinal hernia repair has been a controversial area in the surgical practice ever since it has been conceived. The fact that numerous different procedures are in use reflects the complexity of inguinal hernia and its repair. AIM: The purposes of this study were to describe Dulucq's technique and the modifications of using 3-D mesh in laparoscopic totally extraperitoneal inguinal hernia repair. METHODS: Surgical technique of laparoscopic totally extraperitoneal hernia repair is detailed on the text. CONCLUSION: Laparoscopic totally extraperitoneal is preferred over transabdominal preperitoneal hernia as the peritoneum is not violated. The dissection must always be done with the same stages, without monopolar diathermy and the patient in a slight Trendelenburg position. Following these recommendations, the laparoscopic totally extraperitoneal hernioplasty is feasible with fewer intra-abdominal complications.
%K Laparoscopia
%K H¨¦rnia Inguinal
%K Tela cir¨²rgica
%K Laparoscopic surgery
%K Inguinal hernia
%K Surgical mesh
%U http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-67202013000100013