ArticleAnnals of medicine and surgery (2012)2019
Endo-laparoscopic reconstruction of the abdominal wall midline with linear stapler, the THT technique. Early results of the first case series.
Article in Annals of medicine and surgery (2012), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.
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Who cites it
15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.
- The Italian national consensus conference on the diagnosis and treatment of Rectus Abdominis diastasis in Post-gravidic Women.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Closing the gap: evidence-based surgical treatment of rectus diastasis associated with abdominal wall hernias.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Totally Endoscopic Sublay Anterior Repair (TESAR) for diastasis recti, primary and incisional ventral hernias: Long-term clinical outcomes and quality of life.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Rectus Diastasis With Midline Hernias: Abdominal Wall Reconstruction With Autologous Tissue.Plastic and reconstructive surgery. Global open · 2026Article
- Hybrid approach for ventral hernia associated with rectus diastasis: endoscopic single-port diastasis plication with open preperitoneal hernia repair. ENDOP technique in 10 steps.Surgical endoscopy · 2026Article
- Laparoscopic retromuscular hernia repair (LaHRR): a case-series of 17 patients treated with a novel technique for laparoscopic ventral hernia and diastasis repair.Surgical endoscopy · 2024Article
- Robotic transabdominal retromuscular rectus diastasis (r-TARRD) repair: a new approach.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- CT scan structured report for the study of abdominal wall defects: a fast, easy and practical tool at the service of both surgeons and radiologist.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Prospective observational study of abdominal wall reconstruction with THT technique in primary midline defects with diastasis recti: clinical and functional outcomes in 110 consecutive patients.Surgical endoscopy · 2021Observational
- Abbreviations and synonyms of various surgical techniques in management of rectal diastasis with primary ventral hernias.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Evaluation of functional outcomes following rectus diastasis repair-an up-to-date literature review.Hernia : the journal of hernias and abdominal wall surgery · 2021Review
- Comparison of outcomes in rectus abdominis diastasis repair-which data do we need in a hernia registry?Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Prevalence and Risk Factors of Hernia in Patients With Rectus Abdominis Diastasis: A 10-Year Multicenter Retrospective Study.Frontiers in surgery · 2021Article
- A new anterior approach to parastomal hernia repair (PHR) with linear stapler suture: A case report.Annals of medicine and surgery (2012) · 2020Article
- Laparoscopic transversus abdominis plane block is useful in pain relief after laparoscopic stapled repair of diastasis recti and ventral hernia.Journal of minimal access surgeryArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMidline primary hernias represent one of the most frequent abdominal wall defects in the adult population and in almost half of the cases they are associated with a rectus abdominis diastasis (RAD). Despite the high incidence of these defects there is currently no consensus in the literature on what is the preferred surgical technique for treatment. In this paper we present the first case series treated with an innovative technique that aims to repair the defects of the midline and RAD, while combining the advantages of the sublay Rives-Stoppa technique with those of the minimally-invasive surgery.
methodsBetween January 2018 and May 2018, 14 patients underwent endo-laparoscopic reconstruction of the midline. The surgery was performed under general anaesthesia through a 4 cm periumbilical incision with single port technique. The rectus abdominis sheaths were joined together and sutured lengthwise using a linear stapler. A tailor-made synthetic prosthesis was positioned in the retromuscular space.
resultsAll cases had RAD with a mean width of 5.3 cm in the supraumbilical space. None of the surgeries needed laparotomic conversion. The average duration of the surgery was 80 min. The hospitalization was in all cases one day. The average follow-up period was 6 months. Neither recurrences, nor major or minor complications have been reported to date.
conclusionOur THT is a feasible technique, easily reproducible, and effective in the repair of primary defects of the midline and RAD, which greatly reduces the operating times and hospitalization allowing a quick return to active life.
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