title: Treatment of mid-line abdominal wall hernias with the use of endo-stapler for mid-line closure.
abstract: BACKGROUND
  Minimally invasive videosurgery has modified anatomy dissection of diseases that are treated operatively. However, the benefit of this method has been delayed due to the lack of development of technologies and articulated movements for the abdominal wall, demanding the need for investments and time for solidification. This approach to repair the abdominal wall is based on the Rives-Stoppa principles.
  
  
  METHODS
  With the patient in supine position, a small supra pubic incision is done and the pre-peritoneal space is achieved and inflated. After the trocars are placed, the peritoneal sac is dissected and the abdominal cavity is entered, above the arcuate line. The posterior rectus sheath is liberated and a linear stapler is placed in both sides and fired, creating a midline and a retromuscular space, where the mesh is placed and fixed.
  
  
  CONCLUSIONS
  The method is feasible, easy to perform, reproducible, saves time and with a good functional result.
authors: Ricardo Zugaib
authors: RZ
authors: Abdalla
authors: Rodrigo Biscuola
authors: RB
authors: Garcia
authors: Rafael Izar Domingues
authors: RI
authors: da Costa
authors: Beatrice Martinez Zugaib
authors: BM
authors: Abdalla
mesh_terms: D046449:Hernia, Abdominal / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation* / Q000379:methods*; D006801:Humans; D013528:Surgical Staplers