Evidence map›Paper›PMID 40082302›Full record

Observational studySurgical endoscopy2025

Cranial approach for preperitoneal/pretransversalis enhanced-view totally extraperitoneal (PeTEP) hernia repair: a novel technique description and early outcomes.

Joaquín M Munoz-Rodriguez, Laura Román García de León, Verónica Polaino Moreno, Manuel Fernández Rodríguez, Cristián Grillo Marín, Luis A Blazquez-Hernando, Álvaro Robin Valle De Lersundi, Manuel Medina Pedrique, José Luis Lucena de la Poza, Miguel A Garcia-Urena and 1 more

Abstract readObservational StudyMulticenter Study
PubMed Publisher
In one paragraph

Observational study in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. eTEP Access Evolving Variants.Journal of abdominal wall surgery : JAWS · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Joaquín M Munoz-RodriguezPuerta de Hierro University Hospital. C. Joaquín Rodrigo, Autónoma de Madrid University, 1, 28222 Majadahonda, Madrid, Spain. munoz.rodriguez.jm@gmail.com.ORCID http://orcid.org/0000-0002-7680-8343
Laura Román García de LeónPuerta de Hierro University Hospital. C. Joaquín Rodrigo, Autónoma de Madrid University, 1, 28222 Majadahonda, Madrid, Spain.ORCID http://orcid.org/0000-0001-8536-4724
Verónica Polaino MorenoPuerta de Hierro University Hospital. C. Joaquín Rodrigo, Autónoma de Madrid University, 1, 28222 Majadahonda, Madrid, Spain.ORCID http://orcid.org/0000-0002-6288-6906
Manuel Fernández RodríguezPuerta de Hierro University Hospital. C. Joaquín Rodrigo, Autónoma de Madrid University, 1, 28222 Majadahonda, Madrid, Spain.ORCID http://orcid.org/0009-0007-9104-9000
Cristián Grillo MarínPuerta de Hierro University Hospital. C. Joaquín Rodrigo, Autónoma de Madrid University, 1, 28222 Majadahonda, Madrid, Spain.ORCID http://orcid.org/0009-0000-3008-8830
Luis A Blazquez-HernandoRamón y Cajal University Hospital, Alcala de Henares University, M-607, 9, 100, 28034, Madrid, Spain.ORCID http://orcid.org/0000-0001-9424-3908
Álvaro Robin Valle De LersundiHenares University Hospital. Av. de Marie Curie, Complex Abdominal Wall Research Group from Francisco de Vitoria University, 0, 28822 Coslada, Madrid, Spain.ORCID http://orcid.org/0000-0002-4129-643X
Manuel Medina PedriqueHenares University Hospital. Av. de Marie Curie, Complex Abdominal Wall Research Group from Francisco de Vitoria University, 0, 28822 Coslada, Madrid, Spain.ORCID http://orcid.org/0000-0002-3188-1213
José Luis Lucena de la PozaPuerta de Hierro University Hospital. C. Joaquín Rodrigo, Autónoma de Madrid University, 1, 28222 Majadahonda, Madrid, Spain.ORCID http://orcid.org/0000-0001-6207-5102
Miguel A Garcia-UrenaHenares University Hospital. Av. de Marie Curie, Complex Abdominal Wall Research Group from Francisco de Vitoria University, 0, 28822 Coslada, Madrid, Spain.ORCID http://orcid.org/0000-0002-7356-6211
Javier Lopez-MonclusPuerta de Hierro University Hospital. C. Joaquín Rodrigo, Autónoma de Madrid University, 1, 28222 Majadahonda, Madrid, Spain.ORCID http://orcid.org/0000-0002-0719-8633

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive techniques are widely used to treat abdominal wall defects. This study describes a cranial approach for performing the total preperitoneal/pretransversalis enhanced-view totally extraperitoneal (PeTEP) technique and presents early outcomes for treating primary ventral hernias (PVH), midline trocar site incisional hernias (IHs), both associated with rectus diastasis, as well as lateral IHs.

methodsAn observational study was conducted from October 2023 to September 2024, identifying cases where the cranial PeTEP technique was employed, using data from a multicentric prospectively maintained database. The cranial approach involved dissection of the preperitoneal fatty rhomboid, extending the dissection across the preperitoneal and transversalis fascial plane to the semilunar lines laterally and the pubis caudally. For lateral defects, the dissection extended beyond the ipsilateral semilunar line, surpassing the lateral edge of the defect.

resultsTwenty-four patients underwent elective endoscopic hernia repair: 62.5% PVH, 29.2% midline IH, and 8.3% lateral IH. The mean defect area was 6.32 ± 6.13 cm

conclusionsThe cranial PeTEP technique was a safe, effective, and reproducible method for repairing PVH and small-medium IHs associated with rectus diastasis in a selected cohort of patients. It facilitated large preperitoneal mesh placement without entering the retromuscular plane and avoided posterior component separation in lateral defects. Larger studies with extended follow-up are needed to confirm these promising results.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaLaparoscopyAdultAgedFemaleHumansMaleMiddle AgedSurgical MeshTreatment OutcomeCranial PeTEPEndoscopic surgeryHernia repairIncisional herniaPreperitoneal approachRectus diastasis

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.