Evidence map›Paper›PMID 28916960›Full record

ArticleSurgical endoscopy2018

A novel approach using the enhanced-view totally extraperitoneal (eTEP) technique for laparoscopic retromuscular hernia repair.

Igor Belyansky, Jorge Daes, Victor Gheorghe Radu, Ramana Balasubramanian, H Reza Zahiri, Adam S Weltz, Udai S Sibia, Adrian Park, Yuri Novitsky

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05912868 (Long-term Results in 174 Patients With a Ventral Hernia in the Midline of the Abdominal Wall After EMILOS), which is not on this map. Cited by 226 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
226citing papers in PubMed, 7 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05912868 completednot on this map

Long-term Results in 174 Patients With a Ventral Hernia in the Midline of the Abdominal Wall After EMILOS (Endoscopic Mini/Less Open Sublay) Repair

TypeobservationalSponsorDiakonie-Klinikum StuttgartRan2015 to 2022Enrolled174ConditionsHernia, VentralArmsEndoscopic Mini/Less Open Sublay Repair
3 · Its place in the literature

Who cites it

226 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  10. A comparative study between ETEP vs. IPOM repair for ventral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025
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166 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Igor BelyanskyDepartment of Surgery, Anne Arundel Medical Center, 2000 Medical Parkway, Belcher Pavilion, Suite 106, Annapolis, MD, 21401, USA.
Jorge DaesDepartment of Surgery, Clinica Bautista and Clinica Portoazul, Barranquilla, Colombia.
Victor Gheorghe RaduSurgical Department Life Memorial Hospital, Bucharest, Romania.
Ramana BalasubramanianDepartment of Comprehensive Hernia Surgery, Medica Superspecialty Hospital, Kolkata, India.
H Reza ZahiriDepartment of Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.
Adam S WeltzDepartment of Surgery, Anne Arundel Medical Center, Annapolis, MD, USA. aweltz@aahs.org.
Udai S SibiaDepartment of Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.
Adrian ParkDepartment of Surgery, Anne Arundel Medical Center, Annapolis, MD, USA.
Yuri NovitskyDepartment of Surgery, University Hospital Cleveland Medical Center, Cleveland, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe enhanced-view totally extraperitoneal (eTEP) technique has been previously described for Laparoscopic Inguinal Hernia Repair. We present a novel application of the eTEP access technique for the repair of ventral and incisional hernias.

methodsRetrospective review of consecutive laparoscopic retromuscular hernia repair cases utilizing the eTEP access approach from five hernia centers between August 2015 and October 2016 was conducted. Patient demographics, hernia characteristics, operative details, perioperative complications, and quality of life outcomes utilizing the Carolina's Comfort Scale (CCS) were included in our data analysis.

resultsSeventy-nine patients with mean age of 54.9 years, mean BMI of 31.1 kg/m

conclusionsOur initial multicenter evaluation of the eTEP access technique for ventral and incisional hernias has found the approach feasible and effective. This novel approach offers flexible port set-up optimal for laparoscopic closure of defects, along with wide mesh coverage in the retromuscular space with minimal transfascial fixation.

Indexed as

AdultAgedBlood Loss, SurgicalFemaleHernia, VentralHerniorrhaphyHumansIncisional HerniaLaparoscopyLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsQuality of LifeRecurrenceAbdominal wall reconstructionEnhanced-view totally extraperitoneal techniqueRetromuscular mesh placementTransversus abdominis releaseVentral and incisional hernia repair

Identifiers

PMID28916960

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.