EASY (endoscopic approach to the symphysis): a new minimally invasive approach for the plate osteosynthesis of the symphysis and the anterior pelvic ring-a cadaver study and first clinical results

Eur J Trauma Emerg Surg. 2019 Aug;45(4):745-755. doi: 10.1007/s00068-018-0928-5. Epub 2018 Mar 13.

Abstract

Background: Minimally invasive surgical approaches to reduce approach-associated morbidity are an interdisciplinary goal in surgery. In principle, the endoscopic approach for the extraperitoneal repair of groin hernias is the minimally invasive variant of the modified Stoppa-approach, which is used for the treatment of pelvic ring injuries in traumatology.

Method: Anatomical feasibility study regarding the plate osteosynthesis of the anterior pelvic ring via a minimally invasive variant of the modified Stoppa-approach.

Results: We present the minimally invasive variant of the modified Stoppa-approach in a human cadaver step by step, both photographically and radiologically. Feasibility of the plate osteosynthesis of the symphysis is presented in a patient with open book injury via the minimally invasive approach using standard laparoscopic instruments.

Conclusion: The plate osteosynthesis of the anterior pelvic ring via the minimally invasive variant of the modified Stoppa-approach is feasible with existing standard laparoscopic instruments.

Keywords: EASY-approach; Minimally invasive surgery; Pelvic ring; Plate osteosynthesis; Stoppa-approach; Symphysis.

Publication types

  • Case Reports
  • Evaluation Study

MeSH terms

  • Accidents, Traffic
  • Acetabulum / injuries
  • Acetabulum / surgery
  • Bone Plates
  • Bone Screws
  • Cadaver
  • Endoscopy / methods*
  • Feasibility Studies
  • Fracture Fixation, Internal / instrumentation
  • Fracture Fixation, Internal / methods*
  • Fractures, Bone / surgery*
  • Humans
  • Male
  • Motorcycles
  • Pelvic Bones / injuries*
  • Pelvic Bones / surgery
  • Pubic Symphysis / injuries*
  • Pubic Symphysis / surgery
  • Supine Position
  • Young Adult