Extended Totally Extraperitoneal Rives-Stoppa (eTEP-RS) Technique for Ventral Hernia: Initial Experience of The Wall Hernia Group and a Surgical Technique Update

Overview

Journal Updates Surg

Specialty General Surgery

Date 2021 Apr 30

PMID 33929701

Citations 5

Authors

Jacopo Andreuccetti

Alberto Sartori

Enrico Lauro

Lorenzo Crepaz

Silvia Sanna

Giusto Pignata

Umberto Bracale

Alberto Di Leo

Affiliations

Soon will be listed here.

Abstract

The enhanced-view extended totally extraperitoneal (eTEP) approach for ventral hernia repair is a novel surgical technique. We present the results from the initial experience with eTEP repair Rives-Stoppa (eTEP-RS) at two Italian centers, and we provide an update on this approach. Between December 2018 and July 2020, 19 patients suffering from ventral hernia were treated with the eTEP-RS. Patients' characteristics, operative details, and complications were analyzed. The median follow-up time was 16 (range 6-24) months. Thirteen (68.4%) patients with ventral incisional hernias and 6 (31.6%) with primary ventral hernia underwent an eTEP-RS procedure. The average defect area was 21 cm and the prosthesis's average size was 380 cm. We registered complications in two cases (10.5%); 1 patient had an asymptomatic seroma (Clavien-Dindo grade 1), and another had intestinal obstruction on the 10th postoperative day (Clavien-Dindo grade 3B). The mean hospital stay was 3.9 (range: 2-6) days. There was no hernia recurrence. The eTEP-RS is a feasible and safe approach in ventral hernia repair with minimally invasive surgery. Further studies are needed to define patients' selection and to know long-term outcomes.

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References

Bedewi M, El-Sharkawy M, Al Boukai A, Al-Nakshabandi N . Prevalence of adult paraumbilical hernia. Assessment by high-resolution sonography: a hospital-based study. Hernia. 2011; 16(1):59-62. DOI: 10.1007/s10029-011-0863-4. View

Luijendijk R, Hop W, van den Tol M, de Lange D, Braaksma M, Ijzermans J . A comparison of suture repair with mesh repair for incisional hernia. N Engl J Med. 2000; 343(6):392-8. DOI: 10.1056/NEJM200008103430603. View

Cassar K, Munro A . Surgical treatment of incisional hernia. Br J Surg. 2002; 89(5):534-45. DOI: 10.1046/j.1365-2168.2002.02083.x. View

Korenkov M, Sauerland S, Arndt M, Bograd L, Neugebauer E, Troidl H . Randomized clinical trial of suture repair, polypropylene mesh or autodermal hernioplasty for incisional hernia. Br J Surg. 2002; 89(1):50-6. DOI: 10.1046/j.0007-1323.2001.01974.x. View

Burger J, Luijendijk R, Hop W, Halm J, Verdaasdonk E, Jeekel J . Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004; 240(4):578-83. PMC: 1356459. DOI: 10.1097/01.sla.0000141193.08524.e7. View

DiCocco J, Fabian T, Emmett K, Magnotti L, Goldberg S, Croce M . Components separation for abdominal wall reconstruction: the Memphis modification. Surgery. 2011; 151(1):118-25. DOI: 10.1016/j.surg.2011.06.034. View

Mathes S, Steinwald P, Foster R, Hoffman W, Anthony J . Complex abdominal wall reconstruction: a comparison of flap and mesh closure. Ann Surg. 2000; 232(4):586-96. PMC: 1421191. DOI: 10.1097/00000658-200010000-00014. View

Carbonell A, Cobb W, Chen S . Posterior components separation during retromuscular hernia repair. Hernia. 2008; 12(4):359-62. DOI: 10.1007/s10029-008-0356-2. View

RIVES J, Lardennois B, Pire J, Hibon J . [Large incisional hernias. The importance of flail abdomen and of subsequent respiratory disorders]. Chirurgie. 1973; 99(8):547-63. View

10.

Stoppa R . The treatment of complicated groin and incisional hernias. World J Surg. 1989; 13(5):545-54. DOI: 10.1007/BF01658869. View

11.

LeBlanc K, Booth W . Laparoscopic repair of incisional abdominal hernias using expanded polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993; 3(1):39-41. View

12.

Muysoms F, Bontinck J, Pletinckx P . Complications of mesh devices for intraperitoneal umbilical hernia repair: a word of caution. Hernia. 2010; 15(4):463-8. DOI: 10.1007/s10029-010-0692-x. View

13.

Ramakrishna H, Lakshman K . Intra Peritoneal Polypropylene Mesh and Newer Meshes in Ventral Hernia Repair: What EBM Says?. Indian J Surg. 2014; 75(5):346-51. PMC: 3824771. DOI: 10.1007/s12262-012-0743-x. View

14.

Bittner R, Bain K, Bansal V, Berrevoet F, Bingener-Casey J, Chen D . Update of Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)): Part B. Surg Endosc. 2019; 33(11):3511-3549. PMC: 6795640. DOI: 10.1007/s00464-019-06908-6. View

15.

Claus C, Malcher F, Cavazzola L, Furtado M, Morrell A, Azevedo M . SUBCUTANEOUS ONLAY LAPAROSCOPIC APPROACH (SCOLA) FOR VENTRAL HERNIA AND RECTUS ABDOMINIS DIASTASIS REPAIR: TECHNICAL DESCRIPTION AND INITIAL RESULTS. Arq Bras Cir Dig. 2018; 31(4):e1399. PMC: 6284377. DOI: 10.1590/0102-672020180001e1399. View

16.

Chowbey P, Sharma A, Khullar R, Soni V, Baijal M . Laparoscopic ventral hernia repair with extraperitoneal mesh: surgical technique and early results. Surg Laparosc Endosc Percutan Tech. 2003; 13(2):101-5. DOI: 10.1097/00129689-200304000-00008. View

17.

Reinpold W, Schroder M, Berger C, Nehls J, Schroder A, Hukauf M . Mini- or Less-open Sublay Operation (MILOS): A New Minimally Invasive Technique for the Extraperitoneal Mesh Repair of Incisional Hernias. Ann Surg. 2018; 269(4):748-755. DOI: 10.1097/SLA.0000000000002661. View

18.

Jani K, Contractor S . Retrorectus sublay mesh repair using polypropylene mesh: Cost-effective approach for laparoscopic treatment of ventral abdominal wall hernias. J Minim Access Surg. 2019; 15(4):287-292. PMC: 6839350. DOI: 10.4103/jmas.JMAS_20_19. View

19.

Sartori A, De Luca M, Noaro G, Piatto G, Pignata G, Di Leo A . Rare Intraoperative and Postoperative Complications After Transabdominal Laparoscopic Hernia Repair: Results from the Multicenter Wall Hernia Group Registry. J Laparoendosc Adv Surg Tech A. 2020; 31(3):290-295. DOI: 10.1089/lap.2020.0459. View

20.

Caprini J . Risk assessment as a guide to thrombosis prophylaxis. Curr Opin Pulm Med. 2010; 16(5):448-52. DOI: 10.1097/MCP.0b013e32833c3d3e. View