• Markus Alexander Küper, Alexander Trulson, Inga Maria Trulson, Christian Minarski, Leonard Grünwald, Christoph Gonser, Christian Bahrs, Bernhard Hirt, Ulrich Stöckle, and Fabian Maria Stuby.
• BG Trauma Center, Department for Traumatology and Reconstructive Surgery, Eberhard Karls University Tübingen, Schnarrenbergstraße 95, 72076, Tübingen, Germany. mkueper@bgu-tuebingen.de.
• Eur J Trauma Emerg Surg. 2019 Aug 1; 45 (4): 745-755.

BackgroundMinimally 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.MethodAnatomical feasibility study regarding the plate osteosynthesis of the anterior pelvic ring via a minimally invasive variant of the modified Stoppa-approach.ResultsWe 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.ConclusionThe plate osteosynthesis of the anterior pelvic ring via the minimally invasive variant of the modified Stoppa-approach is feasible with existing standard laparoscopic instruments.

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