Short-Term Outcomes of Totally Extraperitoneal and Extended Totally Extraperitoneal Repair of Ventral Hernia

Abstract

Since the beginning of surgical history, treatment of hernia has evolved through different stages. Belyansky et al. reported that this technique of e-TEP can also be applied for ventral hernia repair in 2017. The retro muscular e-TEP/e-RS approach combines the advantages of the sublay position of the mesh along with the benefits of the minimal invasiveness of the procedure. A prospective observational study was conducted among 60 patients with non-complicated ventral hernia who were randomised into two groups, equally, who were further subjected to either TEP or e-TEP laparoscopic ventral hernia repair. Distribution of median duration of surgery for among the cases studied was significantly higher in Laparoscopic e-TEP repair group as compared to Laparoscopic TEP repair group. e-TEP has advantage over TEP owing to less steeper learning curve, with wide angle view, more degree of movements for instruments, and ergonomically better operative experience.