How to do an extended view totally extraperitoneal mesh repair of midline ventral hernia

2020 ◽  
Vol 90 (6) ◽  
pp. 1151-1152
Author(s):  
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 ◽  
Vol 63 ◽  
pp. 102173
Author(s):  
Mohamed Maatouk ◽  
Yacine Ben Safta ◽  
Aymen Mabrouk ◽  
Ghassen Hamdi Kbir ◽  
Anis Ben Dhaou ◽  
...  

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

Hernia ◽  
2019 ◽  
Vol 24 (3) ◽  
pp. 527-535
Author(s):  
G. Köhler ◽  
R. Kaltenböck ◽  
R. Pfandner ◽  
B. Dauser ◽  
M. Lechner

2020 ◽  
Vol 98 (5) ◽  
pp. 260-266
Author(s):  
Sergio Salido Fernandez ◽  
Maria Fraile Vilarrasa ◽  
Irene Osorio Silla ◽  
Tihomir Georgiev Hristov ◽  
Juan Bernar de Oriol ◽  
...  

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