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Pitfalls and complications of enhanced-view totally extraperitoneal approach to abdominal wall reconstruction

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Abstract

Background

The enhanced-view totally extraperitoneal access technique (eTEP) to minimally invasive retromuscular abdominal wall reconstruction is a relatively novel technique that has continued to gain popularity. There is a paucity of information regarding the prevention and management of eTEP complications. We reviewed the literature to evaluate the complications reported with eTEP ventral hernia repair and discuss the main complications associated with this technique.

Methods

A literature search via PubMed was performed focusing on eTEP ventral hernia repair. Based on the available literature and own practice experience, the authors discuss key strategies for preventing and managing complications associated with the eTEP approach.

Results

One hundred fifty studies were identified. Forty-seven studies were fully reviewed and twenty-four were included in this review. The technical details of the technique were described as performed by the authors. Postoperative complications were classified into different categories and discussed separately.

Conclusion

As the eTEP approach continues to gain popularity, it is essential to consider its unique complications. A focus on prevention with anatomical bearings and sound surgical technique is paramount.

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Funding

No financial support was received for this study.

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Authors and Affiliations

  1. Department of Surgery, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA

    Sergio Mazzola Poli de Figueiredo & Richard Lu

  2. Department of Surgery, Anne Arundel Medical Center, Annapolis, MD, 21401, USA

    Igor Belyansky

Authors
  1. Sergio Mazzola Poli de Figueiredo
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  2. Igor Belyansky
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  3. Richard Lu
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All authors certify that they accept responsibility as an author and have contributed to the concept, data gathering, analysis, manuscript drafting, and give their final approval.

Corresponding author

Correspondence to Sergio Mazzola Poli de Figueiredo.

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Disclosures

Dr. Igor Belyansky received payment/honoraria for lectures and presentations from Intuitive Surgical, Gore Medical, Medtronic and Vicarious Surgical that are unrelated to this work. Dr. Richard Lu received payment/honoraria for lectures and presentations from Intuitive Surgical that are unrelated to this work. Dr. Sergio Mazzola Poli de Figueiredo have no conflict of interest or financial ties to disclose.

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This work was given as an oral presentation at the AHS meeting on September 23rd, 2021; Austin, TX.

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Mazzola Poli de Figueiredo, S., Belyansky, I. & Lu, R. Pitfalls and complications of enhanced-view totally extraperitoneal approach to abdominal wall reconstruction. Surg Endosc 37, 3354–3363 (2023). https://doi.org/10.1007/s00464-022-09843-1

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