Stoppa attended primary and secondary schools in oran. Internal fixation of unstable pelvic ring injuries via the. To compare surgical outcomes of acute acetabular transverse fracture using ilioinguinal and stoppa approach. Atlas of advanced operative surgery 1st edition pdf free. Ii distribution is one of three generalisations of the pareto. Safety of modified stoppa approach for ganz periacetabular. The video that accompanies this article is the modified stoppa approach for fractures of the acetabulum. Then, the pelvic ring was exposed subperiosteally from the pubic symphysis to the anterior aspect of the sacroiliac joint. Modified stoppa approach for fractures of the acetabulum vumedi. Surgical outcomes of acute acetabular transverse fracture. Stoppa bilateral recurrent inguinal hernias henares hospital herniatoday.
Randomized, controlled trial of the modified stoppa versus. Modified stoppa approach for acetabular fractures with anterior and posterior. Modified stoppa approach for fractures of the acetabulum cyril mauffrey, md on vimeo. Atlas of advanced operative surgery 1st edition pdf. The standard anterior approach for treatment of acetabular fractures is the ilioinguinal. He started his medical studies at the faculty of medicine of algiers in 1939. It is performed by wrapping the lower part of the parietal peritoneum with prosthetic mesh and placing it at a preperitoneal level over fruchauds myopectineal orifice. Search the leading research in optics and photonics applied research from spie journals, conference proceedings and presentations, and ebooks. The stoppa procedure led to improvement in the laparoscopic tep approach to preperitoneal placement tension free mesh hernia repair in the early 1990s, because the procedure itself could now be exactly mimicked by laparoscopic means, and the mesh could be inserted in exactly the same plane for reinforcing the inguinal region, as described by.
Acetabular fractures pose a great surgical challenge for. Introduction modified stoppa approach was introduced as an alternative to ilioinguinal approach for management of anterior fractures of acetabulum in order to reduce complications of the latter. In 1994, cole and bolhofner began to use it successfully as minimally invasive acetabulum surgery in adult patients. The rives stoppa technique of hernia repair is a well described open repair that places the prosthesis this work was presented in part at the 47th annual meeting of the society for surgery of the alimentary tract during digestive disease. Judet et al and letournel and judet laid the groundwork for the current understanding and management of acetabular fractures. It can be concluded that the modified stoppa approach could be used as an alternative to the classic ilioinguinal approach. The stoppa approach in its modified form is an intrapelvine approach for the treatment of acetabular fractures. In this paper we will present our experience in using the stoppa approach, its.
The stoppa approach is used in the repair of inguinal hernias. The extrapelvic ilioinguinal il has been the workhorse for the anterior approach and remains the gold standard. Stoppa approach for intrapelvic damage control and reconstruction. Newly modified stoppa approach for acetabular fractures. Modified stoppa approach for surgical treatment of acetabular. This modified stoppa approach affords excellent visualization of the pelvic ring, facilitating the development and utilization of.
The stoppa approach allows for pelvic damage control and reconstruction of bone. Clinicoradiological outcomes of using modified stoppa. Mar 23, 2011 stoppa bilateral recurrent inguinal hernias henares hospital herniatoday. Modified stoppa approach for surgical treatment of acetabular fracture ha yong kim, md, dae suk yang, md, chang kyu park, md, won sik choy, md department of orthopedic surgery, eulji university hospital, eulji university college of medicine, daejeon, korea received march 27, 2014. Stoppa approach to acetabulum approaches orthobullets. In terms of blood loss and complications there was no difference between the ilioinguinal approach and the modified stoppa approach. The modified stoppa or aip approach to the acetabulum provides anatomic exposure that can be used for direct access to the pelvic brim, posterior column of the acetabulum, and the quadrilateral. This new resource picks up where other surgical references leave off, providing highly visual, stepbystep guidance on more than 100 advanced and complex procedures in both general and subspecialty areas. In addition, comminution of the acetabular fracture was an important factor causing nonanatomic reduction and finally unsatisfactory clinical results. Pdf we analyzed the extent of the comminution in the acetabular. We believe that the stoppa approach with an iliac window extension, previously described as a modified stoppa approach is adequate for the majority of acetabular fractures excluding those with predominant posterior wall involvement.
In the case presented herein, a modified stoppa technique approach with anterior column fracture fixation was used. I distribution is commonly known as the power distribution, described later in section 33. Modified stoppa approach for surgical treatment of. Referred to by various names, the anterior intrapelvic approach also known as aip, stoppa, modified stoppa, extended pfannenstiel, ilioanterior, third window aims to expose the medial intrapelvic surface of the innominate bone for repair of acetabular and pelvic ring injuries.
The stoppa approach versus the ilioinguinal approach for. Use pdf download to do whatever you like with pdf files on the web and regain control. The modified stoppa approach is an intrapelvic approach initially used for inguinal hernia surgery by rives et al. Oct 01, 20 orthopedics the objective of this study was to determine whether the modified stoppa approach or the ilioinguinal approach is better for the treatment of acetabular fractures by comparing the. Acetabulum, acetabular fracture, stoppa approach progress has been. The stoppa repair is a tension free type of hernia repair. The modified stoppa approach allows less blood loss than the ilioinguinal in management. The main limitations of the study were that it was retrospective and that the number of patients in each of the 2 groups was limited. Pdf the modified stoppa approach for acetabular fracture. Internal fixation of unstable pelvic ring injuries via the modified stoppa approach 31 connecting vessel between the obturator and femoral artery, was identified and ligated.
Web to pdf convert any web pages to highquality pdf files while retaining page layout, images, text and. Longterm outcome of 254 complex incisional hernia repairs. Treatment using the modified stoppa approach was suitable for anterior. Oct 01, 2014 read the stoppa approach versus the ilioinguinal approach for anterior acetabular fractures. A modified stoppa approach was performed, a part of the migrated elements were safely removed, the intrapelvic structures were controlled, and the bone defect was reconstructed through the stoppa approach combined with the lateral window of ilioinguinal approach by means of bone struts and metallic plates, which is a novel technique. June 2015 this video described the surgical technique and our 11 steps to.
I distribution, defined by adding the shape parameter. A free cortical strut was placed to reinforce the medial wall and morsellized. The full text of this article is available in pdf format. Modified ilioinguinal approach to treat pelvic or acetabular. Minimally invasive treatment of bothcolumn acetabular. Introduction acetabular fractures are complex intraarticular fractures. The stoppa approach for acetabular fracture, operative. The major difference between the il and the stoppa approaches is that stoppa allows for the avoidance of the middle window of the il approach. This video describes a step by step approach to perform the reduction and fixation of acetabular fractures from the front. The modified stoppa incision, which provides more comfortable access to the pelvic brim and quadrilateral surface, has been previously introduced for acetabular fracture treatment.
May 17, 20 the newly modified stoppa approach was performed to fix the acetabular fractures with main anterior displacement and the anterior and lateral parts of the pelvis. A modified stoppa technique approach for treatment of. Stoppa approach for intrapelvic damage control and. Advance your surgical expertise with atlas of advanced operative surgery. The modified stoppa approach for acetabular fracture. Evolution of the anterior intrapelvic stoppa approach for. Modified stoppa approach for fractures of the acetabulum. Modified rivesstoppa repair for abdominal incisional hernias. Acetabular fracture fixation via a modified stoppa limited i. Patients and methods patients twentysix male patients, of asa i. The aim of this metaanalysis is to compare the efficacy of modified stoppa and ilioinguinal approach in the management of. Hirvensalo et al and cole and bolhofner described a modified stoppa approach involving an anterior intrapelvic aip extraperitoneal approach through the rectus abdominis muscle for internal fixation of pelvic and acetabular fractures. This approach was combined with a lateral approach on the iliac crest for fractures of the iliac wing. Orthopedics the objective of this study was to determine whether the modified stoppa approach or the ilioinguinal approach is better for the treatment.
Twenty five patients who managed with ilioinguinal approach group a at a mean followup of 32. Sep 14, 2012 acetabular fractures pose a great surgical challenge for orthopedic trauma surgeons. Incision length was 612 cm mean, 10 cm, operative duration was 50150 minutes mean, 85 minutes, and intraoperative blood loss. Hence, the modified stoppa approach msa can be adopted by a. All participants in the study provided written the free and informed. The stoppa procedure in inguinal hernia repair rev. Goals are the gentle softtissue preparation, anatomic reduction and stable internal fixation. Surgical treatment of displaced acetabular fractures using a.
The aim of this cadaveric study was to investigate the efficacy of the modified stoppa approach in ganz periacetabular osteotomy pao. A retrospective evaluation was performed of 36 patients 25 males and 11 females. The stoppa approach for acetabular fracture springerlink. Conversion to stoppa procedure in laparoscopic totally. Pdf modified stoppa approach for surgical treatment of.
They developed a classification system and novel surgical approaches that still serve as the standard of care. The ganz pao was performed on 10 hemipelvises with normal hips, from 5 cadavers using the modified stoppa approach through the pfannenstiel incision. However, the efficacy of either approach over other is not well established. Modified stoppa approach versus ilioinguinal approach for. Pdf the stoppa approach for acetabular fracture researchgate. The midline approach for hernia treatment with a complicated incision was first described by stoppa in 1989. The stoppa approach versus the ilioinguinal approach for anterior. Rives stoppa incisional hernia repair compares favorably to the standard rives stoppa repair as well as to other techniques for addressing incisional hernias.
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