ArticleSurgical endoscopy2021
Ventral hernia repair by totally extraperitoneal approach (VTEP): technique description and feasibility study.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- The posterior rectus sheath should be preserved.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Laparoscopic intra-peritoneal onlay mesh plus versus robotic transabdominal pre-peritoneal for primary ventral hernias: Our technique and outcomes.Journal of minimal access surgery · 2025Article
- An improved approach of totally visceral sac separation (TVS) for incisional hernia compared with laparoscopic intraperitoneal onlay mesh plus repair (IPOM plus).Scientific reports · 2023Article
- Primary Ventral Hernia Repair and the Risk of Postoperative Small Bowel Obstruction: Intra Versus Extraperitoneal Mesh.Journal of clinical medicine · 2023Article
- Article
- A propensity-score matched analysis of ventral-TAPP vs. laparoscopic IPOM for small and mid-sized ventral hernias. Comparison of perioperative data, surgical outcome and cost-effectiveness.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Endoscopic transversus abdominis release in the treatment of midline incisional hernias: a prospective single-center observational study on 100 patients.Hernia : the journal of hernias and abdominal wall surgery · 2022Observational
- Mid-term results of VTEP (Ventral hernia repair by Totally ExtraPeritoneal approach).Surgical endoscopy · 2022Article
- Stapled VTEP (sVTEP), diastasis and the "swollen abdomen".Surgical endoscopy · 2022Article
- Comparison of outcomes in rectus abdominis diastasis repair-which data do we need in a hernia registry?Hernia : the journal of hernias and abdominal wall surgery · 2021Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe repair of ventral hernias by intra-peritoneal patch (IPOM) involves a risk of pain due to stapling as well as intestinal adhesions. Extraperitoneal placement of the patch without fixation can prevent these drawbacks. Techniques of endoscopic preperitoneal repair were previously described by others. The aim of this article is to describe our technique and to evaluate the feasibility and short-term results.
methodsThe totally endoscopic technique consists of dividing the median aponeurotic structures, while preserving the proper linea alba, to create a unique retro-muscular space, in which the patch is deployed without any fixation. Hundred twelve consecutive patients were operated on for ventral hernias (82 umbilical, 20 epigastric, 10 combined). Perioperative data including duration of operation, technical problems, conversions and complications, as well as postoperative pain, time to resume daily activities and time off work were prospectively assessed.
results98 (87.5%) patients were operated in ambulatory surgery, and 14 (12.5%) in overnight stay. The mean sizes of the hernia and the patch were 9 (1-50) cm
conclusionOur results suggest that VTEP is safely feasible by surgeons skilled in laparoscopy, and might contribute to minimize pain, though this must be established by comparative studies.
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