Evidence map›Paper›PMID 42397606›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2026

Intraoperative adverse events and management strategies in laparoscopic enhanced-view totally extraperitoneal repair (eTEP): a guide to safe introduction.

Jörg Filser, Isabelle Obrecht, Daniel C Steinemann, Fiorenzo Angehrn, Michael Meir, Christian Jurowich, Christoph-Thomas Germer, Beat P Müller, Julian Süsstrunk, Johannes Baur

Abstract readMulticenter Study
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Jörg Filser *Department of General, Visceral and Oncologic Surgery, Innklinikum Altötting, Altötting, Germany.
Isabelle Obrecht *Department of Visceral Surgery, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.
Daniel C SteinemannDepartment of Visceral Surgery, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.
Fiorenzo AngehrnDepartment of Visceral Surgery, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0002-5450-3100
Michael MeirDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital Würzburg, Würzburg, Germany.
Christian JurowichDepartment of General, Visceral and Oncologic Surgery, Innklinikum Altötting, Altötting, Germany.
Christoph-Thomas GermerDepartment of General, Visceral, Transplantation, Vascular and Pediatric Surgery, University Hospital Würzburg, Würzburg, Germany.
Beat P MüllerDepartment of Visceral Surgery, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.
Julian SüsstrunkDepartment of Visceral Surgery, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland. j.suesstrunk@gmail.com.ORCID http://orcid.org/0000-0001-6929-6709
Johannes BaurDepartment of Visceral Surgery, University Digestive Health Care Center, St. Clara Hospital and University Hospital Basel, Basel, Switzerland.ORCID http://orcid.org/0000-0001-8137-9232

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEnhanced-view totally extraperitoneal repair (eTEP) is a promising minimally-invasive technique for ventral hernia repair, allowing extensive retromuscular dissection and large mesh placement with low rates of wound complications and a fast recovery. The learning curve, however, is substantial and technical expertise is crucial for satisfying outcomes. The aim of this study is to critically analyse intraoperative adverse events and provide guidance for safe introduction of eTEP. MATERIALS AND

methodsAll patients undergoing eTEP for primary or incisional ventral hernias between October 2023 and December 2024 at three centres were included in this prospective study. eTEP was divided in 10 surgical steps and each was rated for its difficulty (1-5 points) and analysed for the incidence of adverse events. Surgeon workload was measured using the NASA-Task-Load-Index (0-100) and perioperative outcomes were reported.

resultsA total of 125 patients with a median BMI of 31 kg/m

conclusionHernia dissection and defect closure in laparoscopic eTEP are particularly technically challenging and associated with a high surgeon workload. Due to its technical complexity and frequent intraoperative adverse events, laparoscopic eTEP should be adopted within structured training pathways and appropriate case selection.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaIntraoperative ComplicationsLaparoscopyAgedFemaleHumansMaleMiddle AgedProspective StudiesSurgical MesheTEPIntraoperative complicationsLaparoscopic hernia repairVentral hernia

Identifiers

PMID42397606
PMCPMC13331827

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.