{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T22:10:08Z","timestamp":1790633408388,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"1-2","license":[{"start":{"date-parts":[[2019,9,30]],"date-time":"2019-09-30T00:00:00Z","timestamp":1569801600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Laparoscopic ventral repair is safe, with lower wound infection rates compared with open repair. \u2018Venetian blinds\u2019 technique of plication in combination with mesh reinforcement, is totally intra\u2010corporeal, with hernia defect and sac plication to reduce seroma formation. While laparoscopic suturing of the abdominal wall can represent a technical challenge, pre\u2010operative botulinum toxin A (BTA) injections as an adjunct can assist. This study aims to demonstrate feasibility and efficacy of this technique in abdominal wall hernia repair, with BTA adjunct in midline hernias.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010centre case series was conducted using minimally invasive \u2018Venetian blinds\u2019 technique for repair of complex ventral abdominal hernias. Twelve patients (seven midline, five non\u2010midline) underwent repair (11 laparoscopic; one robotic). Midline hernias received BTA (200\u2013300\u2009units Botox) 4\u20136\u2009weeks prior to surgery. Repairs were mesh\u2010reinforced following fascial closure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twelve (10 female, two male) patients, with a median age 72\u2009years (range 31\u201383) and body mass index of 27.3 kg\/m<jats:sup>2<\/jats:sup> (range 22.8\u201361.7) were included. The median length of operation was 133\u2009min (range 45\u2013290) and length of hospital stay 3\u2009days (range 1\u201328). To date there has been no recurrence of hernia. A single symptomatic seroma was treated with antibiotics and did not require mesh removal. One patient developed hospital\u2010acquired pneumonia and pseudomembranous colitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Minimally invasive \u2018Venetian blinds\u2019 technique has promising early results with both midline and non\u2010midline ventral hernias. The addition of BTA is a novel and feasible combination for repair of midline ventral hernias.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.15438","type":"journal-article","created":{"date-parts":[[2019,10,1]],"date-time":"2019-10-01T03:59:19Z","timestamp":1569902359000},"page":"67-71","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Minimally invasive Venetian blinds ventral hernia repair with botulinum toxin chemical component separation"],"prefix":"10.1111","volume":"90","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9488-4094","authenticated-orcid":false,"given":"Daniel L.","family":"Chan","sequence":"first","affiliation":[{"name":"Department of Surgery St George Hospital  Sydney New South Wales Australia"},{"name":"Department of Surgery, Faculty of Medicine The University of New South Wales  Sydney New South Wales Australia"},{"name":"Faculty of Medicine Western Sydney University  Sydney New South Wales Australia"},{"name":"Department of Surgery Macquarie University Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9405-877X","authenticated-orcid":false,"given":"Praveen","family":"Ravindran","sequence":"additional","affiliation":[{"name":"Department of Surgery St George Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard S.","family":"Fan","sequence":"additional","affiliation":[{"name":"Department of Surgery St George Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2224-7165","authenticated-orcid":false,"given":"Kristen E.","family":"Elstner","sequence":"additional","affiliation":[{"name":"Department of Surgery Macquarie University Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anita S. 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