ArticleSurgical endoscopy2023
eTEP-RS for incisional hernias in a non-robotic center. Is laparoscopy enough to perform a durable MIS repair of the abdominal wall defect?
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.
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11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 21 citations in OpenAlex.
- Outcomes after extended totally extraperitoneal (eTEP) repair for ventral hernia with or without posterior rectus sheath closure: systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Laparoendoscopic extraperitoneal surgical techniques for ventral hernias and diastasis recti repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Intraoperative complications of robotic-assisted extended totally extraperitoneal (eTEP) ventral hernia retromuscular repairs with mesh: a systematic literature review and narrative synthesis.Journal of robotic surgery · 2024Pooled it
- Totally Endoscopic Sublay Anterior Repair (TESAR) for diastasis recti, primary and incisional ventral hernias: Long-term clinical outcomes and quality of life.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- Intraoperative adverse events and management strategies in laparoscopic enhanced-view totally extraperitoneal repair (eTEP): a guide to safe introduction.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Pain and quality of life outcomes following robotic and laparoscopic repair of small-mid sized ventral hernias: insights from the aspire india study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- A Retrospective Study Comparing the Operative Outcomes of Extraperitoneal, Retrorectus Access Laparoscopic and Robotic-Assisted Ventral Hernia Repairs.World journal of surgery · 2025Article
- Comparative approach for abdominal wall reconstruction after ventral hernia: open versus minimally invasive surgery.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Comparison of Laparoscopic eTEP-RS/TAR and IPOM Techniques for Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Learning curves of robotic extended totally extraperitoneal (eTEP) hernia repair among two surgeons at a high-volume community hospital: a cumulative sum analysis.Surgical endoscopy · 2023Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIncisional hernias can complicate up to 25% of laparotomies, and successful repair remains a significant clinical challenge for surgeons. Recently, the surgical technique of ventral hernia repair (eTEP-RS) has been introduced. The method was presented relatively recently and continues to evolve. The use of a robotic platform in eTEP-RS resulted in a significant improvement in ergonomics. Therefore, the questions arise as to whether the laparoscopic technique might still be feasible for such long procedures. The objective of this study is to present our early results in the treatment of patients with incisional ventral hernias using eTEP-RS and to discuss key technical aspects. PATIENTS AND
methodsA prospective case-controlled study was conducted for all incisional ventral hernia patients (hernia orifice between 4 and 10 cm) who underwent eTEP-RS between March 2019 and December 2021. Demographic data were recorded; and perioperative and postoperative results were analyzed.
resultsWe performed 34 eTEP-RS procedures. The mean duration of the surgery was 211 min (145-295). The mean width of the defect was 6.8 cm and the defect area was 42.5 cm
conclusionsThe eTEP-RS is a safe alternative to open ventral hernia repair in selected cases and allows for the placement of a large piece of mesh in accordance with current recommendations, even in non-robotic centers. Excellent knowledge of the detailed anatomy of the abdominal wall is essential for safe and effective hernia repair. Compliance with certain rules of the laparoscopic eTEP-RS facilitates improved ergonomics for this procedure even in non-robotic centers.
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