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Inside to outside puncture following endoscopic localization—A novel technique to insert ports and create retromuscular space in eTEP for ventral hernias

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Abstract

Purpose

Enhanced-view totally extraperitoneal plasty (eTEP) has been used worldwide to repair ventral hernias. This study aimed to describe a novel technique to insert ports and create retromuscular space in more detail.

Methods

From 2020 to 2022, 23 consecutive ventral hernia repairs were performed using the eTEP technique. In all cases, inside-to-outside puncture following endoscopic localization was utilized to insert ports and create retromuscular space.

Results

All cases were completed with the eTEP technique, and no cases with conversion to open repair or IPOM technique. There were no epigastric vessel injuries and posterior sheath tears due to puncture. In addition, no postoperative hematoma cases were reported.

Conclusion

Inside-to-outside puncture following endoscopic localization to insert ports and create retromuscular space is a safe, feasible, reproducible technique in eTEP for ventral hernia repair.

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References

  1. LeBlanc KA, Booth WV (1993) Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc 3:39–41

    CAS  PubMed  Google Scholar 

  2. Heniford BT, Park A, Ramshaw BJ, Voeller G (2003) Laparoscopic repair of ventral hernias: nine years’ experience with 850 consecutive hernias. Ann Surg 238:391–399. https://doi.org/10.1097/01.sla.0000086662.49499.ab

    Article  PubMed  PubMed Central  Google Scholar 

  3. Orenstein SB, Dumeer JL, Monteagudo J, Poi MJ, Novitsky YW (2011) Outcomes of laparoscopic ventral hernia repair with routine defect closure using “shoelacing” technique. Surg Endosc 25:1452–1457. https://doi.org/10.1007/s00464-010-1413-3

    Article  PubMed  Google Scholar 

  4. Tandon A, Pathak S, Lyons NJ, Nunes QM, Daniels IR, Smart NJ (2016) Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair. Br J Surg 103:1598–1607. https://doi.org/10.1002/bjs.10268

    Article  CAS  PubMed  Google Scholar 

  5. Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza Zahiri H, Weltz AS, Sibia US, Park A, Novitsky Y (2018) A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc 32:1525–1532. https://doi.org/10.1007/s00464-017-5840-2

    Article  PubMed  Google Scholar 

  6. Penchev D, Kotashev G, Mutafchiyski V (2019) Endoscopic enhanced-view totally extraperitoneal retromuscular approach for ventral hernia repair. Surg Endosc 33:3749–3756. https://doi.org/10.1007/s00464-019-06669-2

    Article  CAS  PubMed  Google Scholar 

  7. Prakhar G, Parthasarathi R, Cumar B, Subbaiah R, Nalankilli VP, Praveen Raj P, Palanivelu C (2021) Extended view: totally extra peritoneal (e-TEP) approach for ventral and incisional hernia-early results from a single center. Surg Endosc 35:2005–2013. https://doi.org/10.1007/s00464-020-07595-4

    Article  PubMed  Google Scholar 

  8. Köhler G, Kaltenböck R, Pfandner R, Dauser B, Lechner M (2020) Precostal top-down extended totally extraperitoneal ventral hernia plasty (eTEP): simplification of a complex technical approach. Hernia 24:527–535. https://doi.org/10.1007/s10029-019-02076-7

    Article  PubMed  Google Scholar 

  9. Ramana B, Arora E, Belyansky I (2021) Signs and landmarks in eTEP Rives-Stoppa repair of ventral hernias. Hernia 25:545–550. https://doi.org/10.1007/s10029-020-02216-4

    Article  CAS  PubMed  Google Scholar 

  10. Li B, Qin C, Bittner R (2020) Totally endoscopic sublay (TES) repair for midline ventral hernia: surgical technique and preliminary results. Surg Endosc 34:1543–1550. https://doi.org/10.1007/s00464-018-6568-3

    Article  PubMed  Google Scholar 

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Acknowledgements

The authors would like to express their gratitude to EditSprings (https://www.editsprings.cn) for the expert linguistic services provided.

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Authors and Affiliations

  1. Second Department of General Surgery, Dehong People’s Hospital, Affiliated Dehong People’s Hospital of Kunming Medical University, Dehong, China

    F. Zhao

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  1. F. Zhao
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Correspondence to F. Zhao.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Zhao, F. Inside to outside puncture following endoscopic localization—A novel technique to insert ports and create retromuscular space in eTEP for ventral hernias. Hernia 28, 255–259 (2024). https://doi.org/10.1007/s10029-023-02744-9

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  • DOI: https://doi.org/10.1007/s10029-023-02744-9

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