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Extended totally extraperitoneal Rives–Stoppa (eTEP-RS) technique for ventral hernia: initial experience of The Wall Hernia Group and a surgical technique update

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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 cm2 and the prosthesis’s average size was 380 cm2. 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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Authors and Affiliations

  1. General Surgery 2, ASST Spedali Civili of Brescia, Brescia, Italy

    Jacopo Andreuccetti, Silvia Sanna & Giusto Pignata

  2. Department of General Surgery, San Valentino Hospital, Montebelluna-Treviso, Italy

    Alberto Sartori

  3. General Surgery Division, St. Maria Del Carmine Hospital, Rovereto, Italy

    Enrico Lauro

  4. General and Mini-Invasive Surgery, San Camillo Hospital, Trento, Italy

    Lorenzo Crepaz & Alberto Di Leo

  5. Department of General Surgery and Specialities, School of Medicine, Federico II of Naples, Naples, Italy

    Umberto Bracale

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  1. Jacopo Andreuccetti
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Andreuccetti, J., Sartori, A., Lauro, E. et al. Extended totally extraperitoneal Rives–Stoppa (eTEP-RS) technique for ventral hernia: initial experience of The Wall Hernia Group and a surgical technique update. Updates Surg 73, 1955–1961 (2021). https://doi.org/10.1007/s13304-021-01067-7

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