Apparatuses for the performance of a minimally invasive ventral hernia repair

摘要

An Apparatus for the performance of a minimally invasive ventral hernia repair. The apparatus including a mechanical blunt dissector, fascial graspers, and a midline fascial stapling device. The mechanical blunt dissector is capable of performing a blunt dissection of the space between the External Oblique (EO) muscle and the Internal Oblique (IO) muscle. The device has a blunt spoonbill shaped set of plates with an open center (for improved endoscopic visualization during the dissection), connected to long arms which connect to a pair of hand grips. However, the blunt dissector may include a tapered blunt distal tip to the spoonbill element—more like a duck's bill—for advancing the mechanical dissector forward into the loose areolar connective tissue that exists between the EO and IO muscles. The apparatus further includes graspers formed of long endoscopic graspers that are modified to grasp and lock on to tissue as thick and tough as rectus fascia. A further inclusion in the present invention is a fascial stapler designed for approximation of the mid line rectus fascia.