Extraperitoneal laparoscopic ventral hernia repair: one step beyond
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The objective of the study was to analyze the experience of the Department of Surgery of two institutions of high complexity in Colombia, with the extra peritoneal ventral hernia repair by laparoscopy during the last 2 years and characterize the clinical and surgical aspects most relevant in the procedures performed.
Observational, descriptive, retrospective study, case series type: collection of data by clinical history and analysis thereof including calculation of frequency and central tendency measurements.
59 Cases of Ventral Hernia Repair by laparoscopy, 41 with Transabdominal Preperitoneal approach and 18 totally Extraperitoneal. In total, 7 complications were presented as follows: 1 Case of recurrence, 1 case of chronic pain, 2 complications Dindo–Clavien IIIa and 1 complication IIIb.
The repair of the ventral hernia by Extraperitoneal route is an innovative approach of increasing popularity, which avoids the contact of the mesh with the intestines, thus avoiding the potential complications that this situation generates with good outcomes and at a lower cost.
KeywordsIncisional hernia TAPP (transabdominal preperitoneal) TEP (totally extraperitoneal) Mesh Laparoscopy Extraperitoneal
Compliance with ethical standards
Conflict of interest
All authors declare that they have no conflict of interest.
Approval from the institutional review board was not required for this study.
Human and animal rights
This article does not contain any studies with human participants or animals performed by any of the authors.
For this retrospective review, formal consent is not required.
- 2.Heniford BT, Park A, Ramshaw BJ, Voeller G (2006) Laparoscopic repair of ventral hernias laparoscopic repair of ventral hernias. Ann Surg 238(3):1–10Google Scholar
- 4.Slater NJ, Knaapen L, van Goor H (2015) Abdominal wall defects: pathogenesis, prevention and repair. Surgery 33(5):206–213Google Scholar
- 8.Access O (2015) Outcome of four years experience in laparoscopic ventral hernia repair. Pak J Med Sci 31(4):987–990Google Scholar
- 15.Belyansky I, Daes J, Radu VG, Balasubramanian R, Reza Zahiri H, Weltz AS et al (2017) A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair. Surg Endosc Other Interv Tech 32(3):1525–1532. https://doi.org/10.1007/s00464-017-5840-2 CrossRefGoogle Scholar