Endoscopic enhanced-view totally extraperitoneal retromuscular approach for ventral hernia repair.
Abdominal Wall
/ surgery
Adult
Aged
Feasibility Studies
Female
Hernia, Ventral
/ surgery
Herniorrhaphy
/ methods
Humans
Incisional Hernia
/ surgery
Laparoscopy
/ methods
Male
Middle Aged
Operative Time
Pain, Postoperative
/ etiology
Rectus Abdominis
/ surgery
Retrospective Studies
Surgical Mesh
Surgical Wound Infection
Retromuscular
Rives–Stoppa
Ventral hernia
eTEP
Journal
Surgical endoscopy
ISSN: 1432-2218
Titre abrégé: Surg Endosc
Pays: Germany
ID NLM: 8806653
Informations de publication
Date de publication:
11 2019
11 2019
Historique:
received:
08
10
2018
accepted:
17
01
2019
pubmed:
27
1
2019
medline:
23
7
2020
entrez:
26
1
2019
Statut:
ppublish
Résumé
Primary or incisional ventral hernia repair is one of the most common surgical procedures, addressed to general surgeons. The enhanced view-totally extraperitoneal technique (eTEP) was first described by Deas for inguinal hernias, but lately it has been applied to ventral hernias by Belyansky et al. So far, results are promising and data about the procedure are rising. Retrospective comparative analysis of 27 recruited eTEP procedures and 27 IPOM operations for the period between April 2017 and June 2018 at the department of Endoscopic surgery of Military Medical Academy, Sofia. Baseline characteristics, operative records and perioperative data are provided and compared for both groups. Fifty-four patients were included. There were no differences between age, sex, BMI, primary or incisional hernias, co-morbidity, active smoking, EHS-classification and immunosuppression through the patients in different groups. Mean defect area-eTEP is 71 cm We found out that the eTEP/eRS approach is feasible and safe. Our study shows comparable results of eTEP/eRS to the IPOM procedure with reduced video analogue scale pain score to the 7th postoperative day and increased operative time. The study contributes to the upcoming evidence in the field of new minimally invasive techniques for ventral hernia repair.
Sections du résumé
BACKGROUND
Primary or incisional ventral hernia repair is one of the most common surgical procedures, addressed to general surgeons. The enhanced view-totally extraperitoneal technique (eTEP) was first described by Deas for inguinal hernias, but lately it has been applied to ventral hernias by Belyansky et al. So far, results are promising and data about the procedure are rising.
METHODS
Retrospective comparative analysis of 27 recruited eTEP procedures and 27 IPOM operations for the period between April 2017 and June 2018 at the department of Endoscopic surgery of Military Medical Academy, Sofia. Baseline characteristics, operative records and perioperative data are provided and compared for both groups.
RESULTS
Fifty-four patients were included. There were no differences between age, sex, BMI, primary or incisional hernias, co-morbidity, active smoking, EHS-classification and immunosuppression through the patients in different groups. Mean defect area-eTEP is 71 cm
CONCLUSION
We found out that the eTEP/eRS approach is feasible and safe. Our study shows comparable results of eTEP/eRS to the IPOM procedure with reduced video analogue scale pain score to the 7th postoperative day and increased operative time. The study contributes to the upcoming evidence in the field of new minimally invasive techniques for ventral hernia repair.
Identifiants
pubmed: 30680657
doi: 10.1007/s00464-019-06669-2
pii: 10.1007/s00464-019-06669-2
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3749-3756Références
World J Surg. 2016 Jan;40(1):89-99
pubmed: 26423675
JAMA Surg. 2013 Mar;148(3):259-63
pubmed: 23552714
Surgery. 2010 Sep;148(3):544-58
pubmed: 20304452
JSLS. 2008 Apr-Jun;12(2):113-6
pubmed: 18435881
Hernia. 2009 Feb;13(1):13-21
pubmed: 18670733
Surg Endosc. 2016 Aug;30(8):3163-83
pubmed: 27405477
J Am Coll Surg. 2013 Dec;217(6):999-1009
pubmed: 24083910
BMC Surg. 2013 Jun 07;13:18
pubmed: 24499061
Surg Endosc. 2017 Jan;31(1):382-388
pubmed: 27287902
Surg Endosc. 2017 Sep;31(9):3656-3663
pubmed: 28078462
Arch Surg. 2010 Apr;145(4):322-8; discussion 328
pubmed: 20404280
Ann Surg. 2018 Jun 19;:null
pubmed: 29923873
Surg Endosc. 2018 Mar;32(3):1525-1532
pubmed: 28916960
Surg Endosc. 2010 Dec;24(12):3002-7
pubmed: 20445995
Surg Endosc. 2005 Dec;19(12):1556-60
pubmed: 16211441
World J Gastrointest Surg. 2015 Nov 27;7(11):293-305
pubmed: 26649152
Hernia. 2015 Jun;19(3):493-501
pubmed: 25142493
Am J Surg. 2009 Jan;197(1):64-72
pubmed: 18614144
Ann Surg. 2012 Nov;256(5):714-22; discussion 722-3
pubmed: 23095614
Am Surg. 2011 Apr;77(4):458-65
pubmed: 21679556
Surg Endosc. 2012 Apr;26(4):1187-9
pubmed: 22038166
Am Surg. 2014 Feb;80(2):138-48
pubmed: 24480213
Langenbecks Arch Surg. 2017 Feb;402(1):173-180
pubmed: 27766419
Hernia. 2012 Apr;16(2):179-83
pubmed: 21904861
World J Surg. 2007 Dec;31(12):2398-404
pubmed: 17952701
Surg Laparosc Endosc Percutan Tech. 2007 Dec;17(6):514-6
pubmed: 18097312
Hernia. 2018 Oct;22(5):837-847
pubmed: 29974283
Br J Surg. 2009 Aug;96(8):851-8
pubmed: 19591158
Surg Endosc. 2017 Jan;31(1):324-332
pubmed: 27287903
Surg Endosc. 2018 Feb;32(2):840-845
pubmed: 28733746
Ann Surg. 2019 Apr;269(4):748-755
pubmed: 29342018
J Laparoendosc Adv Surg Tech A. 2018 Apr;28(4):434-438
pubmed: 29293068
J Minim Access Surg. 2018 Oct-Dec;14(4):338-340
pubmed: 29582800
Lancet. 2018 Mar 3;391(10123):860-869
pubmed: 29459021