Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2022 Dec;26(6):1541-1549.
doi: 10.1007/s10029-022-02626-6. Epub 2022 Jun 3.

Extended totally extraperitoneal (eTEP) treatment for lateral primary and incisional hernias. New approach to old problems

S Hernández-Villafranca  1 , S Qian-Zhang  2 , I O Silla  2 , M L S de Molina Rampérez  2 , E C Alises  2 , C Sánchez  3 , R Pardo  4 , M F Vilarrasa  5 , P Villarejo-Campos  2 , S Salido  2
Affiliations

Extended totally extraperitoneal (eTEP) treatment for lateral primary and incisional hernias. New approach to old problems

S Hernández-Villafranca et al. Hernia. 2022 Dec.

Abstract

Purpose: To describe the eTEP approach for treating lateral primary and incisional hernia and show its results in a prospective series of cases.

Methods: A descriptive prospective study with patients treated surgically for lateral hernias using eTEP approach. Every patient was operated by the same surgeon from November 2018 to December 2021. Inclusion criteria were primary and incisional hernia, lateral and W1 and W2 sized using the EHS classification. Exclusion criteria were W3 hernia, loss of domain, need to remove previous mesh, dystrophic or ulcerative skin, history of previous complex surgery. Details of the surgical technique are described.

Results: 34 patients were operated. Median age was 65 years old and BMI, 29.9 (22.1-47.1). There were several locations being the most frequent L3 in 18 patients. The median length was 41 mm (10-129) and width, 44 mm (10-97). The median of defect-mesh ratio was 5.05 (0.9-447.64). TAR was practised in 21 patients (61.8%). Only one patient suffered a clinically relevant complication, being a hematoma (Dindo-Clavien II). 50% of patients were operated in ambulatory surgery. After a median follow-up of 13.5 months, only one recurrence has been reported (2.9%).

Conclusion: eTEP to treat lateral hernias is feasible and reproducible showing good results in terms of hernia recurrence and complications. A further prospective randomized clinical trial is needed to support these results.

Keywords: Endoscopic abdominal wall; Extended totally extraperitoneal surgery; Lateral hernias.

PubMed Disclaimer

Similar articles

See all similar articles

Cited by

References

    1. Daes J (2012) The enhanced view-totally extraperitoneal technique for repair of inguinal hernia. Surg Endosc 26(4):1187–1189 - DOI - PubMed
    1. Salido Fernandez S, FraileVilarrasa M, Osorio Silla I, GeorgievHristov T, Bernar de Oriol J, González-Ayora S, Pardo García R, Guadalajara Labajo H (2020) Extended totally extraperitoneal (eTEP) approach for ventral hernia repair: initial results. Cirugia Espanola 98(5):260–266 - DOI - PubMed
    1. Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza Zahiri H, Weltz AS, Sibia U, Park A, Novitsky Y (2018) A novel approach using the enhanced view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc 32(3):1525–1532 - DOI - PubMed
    1. Radu VG, Lica M (2019) The endoscopic retromuscular repair of ventral hernia: the eTEP technique and early results. Hernia J Hernias Abdom Wall Surg 23(5):945–955 - DOI
    1. Hernia Surge Group (2018) International guidelines for groin hernia management. Hernia J Hernias Abdom Wall Surg 22(1):1–165 - DOI

LinkOut - more resources