How to do an extended totally extraperitoneal mesh repair for groin hernias

2019 ◽  
Vol 89 (10) ◽  
pp. 1324-1325 ◽  
Author(s):  
Suat Chin Ng ◽  
Steve Yee Chiang Lau ◽  
David Wardill
2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Hiroshi Hirukawa

Abstract Aim We have been performing intraperitoneal on lay mesh repair (IPOM plus) as the standard laparoscopic procedure for ventral hernia in our department. We introduced enhanced-view totally extraperitoneal repair (eTEP) for ventral hernia repair in 2018, and have performed 31 cases so far. We compared the outcomes of IPOM Plus and eTEP at our institution. Material and Methods Ventral hernia cases who underwent surgery at our department between 2018 and 2020 were included in the study. The postoperative outcomes and complications of the IPOM Plus and eTEP groups were evaluated retrospectively. Results There were 12 cases of IPOM plus, and all were incisional hernias. There were 31 cases of eTEP, including 7 cases of primary hernias and 24 cases of incisional hernias. Transversus abdominis muscle release (TAR) was added in 24 cases. The mean hernia size was 6.6 x 7.9 cm with IPOM Plus and 8.0 x 10.1 cm with eTEP, and the average meshes size was 15.5 x 22.0 cm and 20.3 x 23.6 cm, respectively. The mean postoperative hospital stay was 7.8 days and 5 days. Postoperative complications included 1 case of mesh bulging and 1 case of recurrence in the IPOM Plus group, 1 case of seroma and 1 case of intestinal obstruction in the eTEP. Conclusions The surgical outcomes for ventral hernias up to 8 cm wide were similar for IPOM Plus and eTEP. The eTEP can insert a larger mesh and may be useful for wider hernias (>8cm).


2021 ◽  
Author(s):  
Alexander Smith ◽  
Jordan Bilezikian ◽  
William Hope ◽  
Sarah Fox

2004 ◽  
Vol 14 (5) ◽  
pp. 313-316 ◽  
Author(s):  
Pradeep K. Chowbey ◽  
Samik Kumar Bandyopadhyay ◽  
Rajesh Khullar ◽  
Vandana Soni ◽  
Manish Baijal ◽  
...  

2004 ◽  
Vol 14 (6) ◽  
pp. 358-361 ◽  
Author(s):  
Satheesh Yalamarthi ◽  
Sudhir Kumar ◽  
Emma Stapleton ◽  
Stephen J. Nixon

2021 ◽  
Vol 8 (7) ◽  
pp. 2244
Author(s):  
Aditya C. Oak ◽  
Vishakha R. Kalikar ◽  
Ankur K. Patel ◽  
Roy V. Patankar

Spigelian hernia is a rare type of abdominal wall hernia due to congenital defect in the transversus aponeurosis fascia. It has a prevalence of 2%. Traditionally, an anterior hernioplasty was used to repair these defects. Only a few cases have been reported in the literature. Here we discuss a case of a 66 year old female with chronic lower abdominal pain with swelling in left inguinal area diagnosed with spigelian hernia on ct scan along with left direct hernia as well as left femoral hernia found incidentally and repaired using totally extra peritoneal single mesh repair.


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