Extended View: Totally Extra Peritoneal (e-TEP) Approach for Ventral and Incisional Hernia—Early results from a single center

Gupta, Prakhar; Parthasarathi, Ramakrishnan; Cumar, Bharath; Rajapandian, Subbiah; Nalankilli, V.P.; Raj, Praveen; Palanivelu, Chinnusamy

doi:10.1007/s00464-020-07595-4

Cited by 29 publications

(15 citation statements)

References 22 publications

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“…Nine studies [ 11 , 18 – 20 , 22 – 26 ] reported the hernia etiology, with 45.7% primary ventral hernia. Nine studies [ 11 , 18 , 19 , 22 , 23 , 25 – 28 ] provided data on hernia location according to the EHS classification [ 13 ] resulting in 96.2% of midline hernias and 3.8% of lateral hernias. Hernia size (width) was reported in eight studies [ 11 , 18 – 21 , 24 , 25 , 28 ] and resulted in a mean size of 6.38 cm [5.12–7.63].…”

Section: Resultsmentioning

confidence: 99%

“…Overall, patient mean age was 54.29 years (± 1.28) with a mean BMI of 29.16 kg/m 2 (± 0.58) with five studies [10,[18][19][20][21] presenting an obese population with a mean BMI ≥ 30 kg/m 2 (Supplementary material Table 2S). Nine studies [11,[18][19][20][22][23][24][25][26] reported the hernia etiology, with 45.7% primary ventral hernia. Nine studies [11,18,19,22,23,[25][26][27][28] provided data on hernia location according to the EHS classification [13] resulting in 96.2% of midline hernias and 3.8% of lateral hernias.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis

Aliseda

Sánchez-Justicia

Zozaya

et al. 2022

Hernia

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Background The enhanced view totally extraperitoneal (eTEP) approach is becoming increasingly more widely accepted as a promising technique in the treatment of ventral hernia. However, evidence is still lacking regarding the perioperative, postoperative and long-term outcomes of this technique. The aim of this meta-analysis is to summarize the current available evidence regarding the perioperative and short-term outcomes of ventral hernia repair using eTEP. Study design A systematic search was performed of PubMed, EMBASE, Cochrane Library and Web of Science electronic databases to identify studies on the laparoscopic or robotic-enhanced view totally extraperitoneal (eTEP) approach for the treatment of ventral hernia. A pooled meta-analysis was performed. The primary end point was focused on short-term outcomes regarding perioperative characteristics and postoperative parameters. Results A total of 13 studies were identified involving 918 patients. Minimally invasive eTEP resulted in a rate of surgical site infection of 0% [95% CI 0.0–1.0%], a rate of seroma of 5% [95% CI 2.0–8.0%] and a rate of major complications (Clavien–Dindo III–IV) of 1% [95% CI 0.0–3.0%]. The rate of intraoperative complications was 2% [95% CI 0.0–4.0%] with a conversion rate of 1.0% [95% CI 0.0–3.0%]. Mean hospital length of stay was 1.77 days [95% CI 1.21–2.24]. After a median follow-up of 6.6 months (1–24), the rate of recurrence was 1% [95% CI 0.0–1.0%]. Conclusion Minimally invasive eTEP is a safe and effective approach for ventral hernia repair, with low reported intraoperative complications and good outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis

Aliseda

Sánchez-Justicia

Zozaya

et al. 2022

Hernia

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“…Maybe e-TEP can overcome the above problems by placing the mesh in the preperitoneal space. [17,34] The biggest limitation of e-TEP is that operation time is longer. The mean time for the e-TEP procedure in our study was 98.5 ± 10.7 minutes, which is far longer than the IPOM group (65.9 ± 7.3min).…”

Section: Discussionmentioning

confidence: 99%

“…[15]The e-TEP technology has become popular in these years, and the results of e-TEP are encouraging, but lack de nitive studies in this eld. [16][17][18] Few clinical studies compare e-TEP and IPOM in abdominal wall hernia treatment. We compared the effects of e-TEP versus IPOM plus for abdominal wall hernias repair.…”

Section: Introductionmentioning

confidence: 99%

Efficacy of extended view totally extra peritoneal approach versus laparoscopic intraperitoneal on lay mesh plus for abdominal wall hernias: a single center preliminary study

Xu¹,

Huang²,

Guo

et al. 2023

Preprint

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Background Minimally invasive surgery through Laparoscopy had been the first treatment option for ventral hernias. Laparoscopic intraperitoneal on lay mesh (IPOM) plus approach for abdominal wall hernias is the classic procedure, while extended view totally extraperitoneal (e‑TEP) repair is a newer option. This study aimed to compare the preliminary effects of the two surgical procedures for abdominal wall hernias repair. Methods This is a retrospective and comparative single-center study done at The Second Clinical Medical College, Jinan University Hospital (Shenzhen People's Hospital), Shenzhen, China, from January 2022 to December 2022. The study included all patients who had undergone abdominal wall hernia operation with a 2 to 6-cm defect size. Patients' baseline characteristics, hernia features, operative time, blood loss, postoperative pain level, and total hospitalization expenses were conducted systematically. Results We evaluated 53 cases, 22 in the e-TEP group and 31 in IPOM plus group. The demographic characteristics had no significant difference between the two groups. The time of surgery in e-TEP was significantly longer than IPOM plus (98.5 ± 10.7min vs. 65.9 ± 7.3min, P < 0.01). Postoperative pain levels (VAS) (4.2 ± 0.9 vs. 6.7 ± 0.9, P < 0.01), analgesic requirements (25.0 ± 37.0mg vs. 72.6 ± 40.5mg, P < 0.01), hospital stays (1.2 ± 0.5days vs. 2.2 ± 0.6days, P < 0.01), and total hospitalization expenses (19695.9 ± 1221.7CNY vs. 35286.2 ± 1196.6CNY, P < 0.01) by contrast were significantly lower for the e-TEP group. There was no difference in the mean intraoperative bleeding between the two groups and no postoperative complications during the observation period in the two groups. Conclusion As a new surgical technique for abdominal wall hernias repair, e-TEP appears to be better than IPOM plus in postoperative pain levels (VAS), analgesic requirements, hospital stays and hospitalization costs.

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“…In 2016, Belyansky, Daes, and others would further build upon these principles to formulate the eTEP approach for ventral hernias [36]. The eTEP approach has enjoyed wide adoption across the globe with several surgical teams reporting on the technique [37][38][39][40][41], but the precedent set by Miserez is indisputable.…”

Section: The Etep Revolutionmentioning

confidence: 99%

A Detailed History of Retromuscular Repairs for Ventral Hernias: A Story of Surgical Innovation

Arora

Kukleta

Ramana³

2021

World j. surg.

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Background We performed a historical review of events concerning retromuscular hernia repairs over the last two centuries. This may shed light on surgical innovators and their novel techniques that have evolved into current practices. Methods Literature reviews of notable surgeons in the subspecialty were reviewed. Historical context was obtained by personal communication with contemporary surgeons who witnessed changes in established techniques firsthand. Results Even though retromuscular repairs are the central theme of this exercise, it is important to note several adjacent events which steered surgical progress. The status of hernia surgery today is the result of the work of several pioneers separated by time and distance. Conclusions It may be important to understand the circumstances that have propelled past surgical breakthroughs to stimulate future progress.

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Extended View: Totally Extra Peritoneal (e-TEP) Approach for Ventral and Incisional Hernia—Early results from a single center

Cited by 29 publications

References 22 publications

Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis

Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis

Efficacy of extended view totally extra peritoneal approach versus laparoscopic intraperitoneal on lay mesh plus for abdominal wall hernias: a single center preliminary study

A Detailed History of Retromuscular Repairs for Ventral Hernias: A Story of Surgical Innovation

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