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The Enhanced-View Totally Extraperitoneal Repair for Ventral and Incisional Hernia: Midterm Results of an Evolving Technique.
J Laparoendosc Adv Surg Tech A
December 2024
Department of General Surgery, Aulss 5 Polesana, Viale Tre Martiri, Rovigo, Italy.
In the field of abdominal wall hernias, several innovative procedures have been developed, including the extended/enhanced-view totally extraperitoneal (eTEP) hernia repair technique. Initially introduced for laparoscopic hernia repair by J. Daes, it was subsequently applied to ventral hernia repair (VHR) and incisional hernia repair (IVHR) by I.
View Article and Find Full Text PDFMinimally invasive intraperitoneal onlay mesh plus (IPOM +) repair versus enhanced-view totally extraperitoneal (e-TEP) repair for ventral hernias: a systematic review and meta-analysis.
Surg Endosc
November 2024
Department of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Introduction: Following concerns regarding an intraperitoneal mesh, newer ventral hernia repair (VHR) approaches focus on placing the mesh outside of the peritoneal cavity. The e-TEP technique used the retromuscular space and is suggested to be associated with decreased postoperative pain compared to IPOM +. This study aims to compare the IPOM + with the e-TEP for VHR.
View Article and Find Full Text PDFThe enhanced-view totally extraperitoneal repair of abdominal bulge after DIEP flap breast reconstruction for breast cancer: a case report.
Surg Case Rep
November 2024
Department of General and Gastroenterological Surgery, Faculty of Medicine, Osaka Medical and Pharmaceutical University, 2-7 Daigaku-machi, Takatsuki, Osaka, 569-8686, Japan.
Background: The deep inferior epigastric perforator (DIEP) flap for autologous breast reconstruction is associated with higher patient satisfaction and fewer abdominal morbidities at the donor site than the transverse rectus abdominis myocutaneous flap. However, abdominal bulging occurs at a certain frequency, and there is no established treatment. Here, we present a case of laparoscopic hernia repair using the enhanced-view totally extraperitoneal (eTEP) method in a patient with a lower abdominal bulge after DIEP flap reconstruction.
View Article and Find Full Text PDFEnhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs.
J Minim Access Surg
October 2024
Department of Minimal Access, GI and Bariatric Surgery, Fortis Hospital, Bengaluru, Karnataka, India.
Article Synopsis
- The text discusses treatment options for recurrent incisional hernias (RIH) after previous laparoscopic mesh surgery, including open repairs and various laparoscopic methods.
- It highlights that most RIH cases are treated with open onlay mesh repairs or laparoscopic Redo IPOM plus procedures.
- The article aims to share insights on the technical challenges and solutions related to the laparoscopic enhanced view totally extraperitoneal-RS (ETEP-RS) approach for RIH after prior IPOM plus repairs, which lacks extensive literature support.
Active smoking increases risk of wound complications in robotic enhanced-view totally extraperitoneal (eTEP) retro-rectus ventral hernia repairs.
Surg Endosc
December 2024
Brown University General Surgery Program and The Miriam Hospital, 593 Eddy Street, Providence, RI, 02903, USA.
Article Synopsis
- Tobacco smoking increases the risk of surgical site complications after robotic eTEP retrorectus hernia repair, with current smokers experiencing more issues compared to non-smokers.
- The study analyzed 102 patients from November 2019 to October 2022, categorizing them by smoking status and examining various outcomes, finding only one recurrence of a hernia among never smokers.
- While no overall complication differences were found between smokers and non-smokers, current smokers had significantly higher rates of surgical site occurrences, indicating that smoking at the time of surgery can lead to increased risks, unlike former smokers who showed no such risk.
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