Comparative review of outcomes: laparoscopic and robotic enhanced-view totally extraperitoneal (eTEP) access retrorectus repairs

Lu, Richard; Addo, Alex; Ewart, Zachary; Broda, Andrew; Parlacoski, Stephanie; Zahiri, H. Reza; Belyansky, Igor

doi:10.1007/s00464-019-07132-y

Cited by 52 publications

(43 citation statements)

References 19 publications

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“…The two aps were raised by the instruments from the contralateral side and were sutured together on the midline after repair. This difference may be because robotic is used more frequently in TAS (20-24) than in TES (14)(15)(16); however, the use of robotic is not widespread in hernia surgery in China. Therefore, suturing two aps together on the midline is much easier than suturing one ap at a close range in routine endoscopic surgery.…”

Section: The Critical Surgical Skillsmentioning

confidence: 99%

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A Preliminary Multicenter Evaluation of Endoscopic Sublay Repair for Ventral Hernia From China

Tang

Jiang

et al. 2020

Preprint

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Background For ventral hernia, endoscopic sublay repair (ESR) may overcome the disadvantages of open sublay and laparoscopic intraperitoneal onlay mesh repair. This retrospective study presents the preliminary multicenter results of ESR from China. The feasibility, safety, and effectiveness of ESR were evaluated; its surgical points and indications were summarized. Methods The study reviewed 156 ventral hernia patients planned to perform with ESR in ten hospitals between March 2016 and July 2019. Patient demographics, hernia characteristics, operative variables, and surgical results were recorded and analyzed. Results ESR was performed successfully in 153 patients, 135 with totally extraperitoneal sublay (TES) and 18 with transabdominal sublay (TAS). In 19 patients, TES was performed with the total visceral sac separation (TVS) technique, in which the space separation is carried out along the peritoneum, avoiding damage to the aponeurotic structure. Endoscopic transversus abdominis release (eTAR) was required in 17.0% of patients, and only 18.3% of patients required permanent mesh fixation. The median operative time was 135 min. Most patients had mild pain and resume eating soon after operation. No severe intraoperative complications occurred. Bleeding in the extraperitoneal space occurred in two patients and was stopped by nonsurgical treatment. Seroma and chronic pain were observed in 5.23% and 3.07% of patients. One recurrence occurred after TAS repair for an umbilical hernia. Conclusion ESR is feasible, safe, and effective for treating ventral hernias when surgeons get the relevant surgical skills, such as the technique of “partition breaking,” TVS, and eTAR. Small-to-medium ventral hernias are the major indications.

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Section: The Critical Surgical Skillsmentioning

confidence: 99%

“…The main reasons were the great technical di culty of the procedure and the long operative time. However, this situation has changed in the last 2 years, as many articles about this emerging technique from different countries have been published (6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).…”

Section: Introductionmentioning

confidence: 99%

A Preliminary Multicenter Evaluation of Endoscopic Sublay Repair for Ventral Hernia From China

Tang

Jiang

et al. 2020

Preprint

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Section: Introductionmentioning

confidence: 99%

“…Prasad, Schroeder, and Masurkar reported cases in which they performed transabdominal sublay (TAS) repair based on the inguinal hernia transabdominal preperitoneal (TAPP) approach (17)(18)(19). Moreover, robotic assistance was also introduced to ESR performed using either totally extraperitoneal (14)(15)(16) or transabdominal (20)(21)(22)(23)(24) approach.…”

Section: Introductionmentioning

confidence: 99%

“…Data from 156 planned ESR patients from ten Chinese hospitals were collected in this retrospective study, which is the second largest report of ESR after the report of Belyansky at the end of 2019 (16). The primary endpoint of this study was to evaluate the feasibility, safety, and effectiveness of ESR, and the secondary endpoint was to summarize its associated surgical skills and indications.…”

Section: Introductionmentioning

confidence: 99%

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A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

Tang

Jiang

et al. 2020

Preprint

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Background: For ventral hernia, endoscopic sublay repair (ESR) may overcome the disadvantages of open sublay and laparoscopic intraperitoneal onlay mesh repair. This retrospective study presents the preliminary multicenter results of ESR from China. The feasibility, safety, and effectiveness of ESR were evaluated; its surgical points and indications were summarized. Methods: The study reviewed 156 ventral hernia patients planned to perform with ESR in ten hospitals between March 2016 and July 2019. Patient demographics, hernia characteristics, operative variables, and surgical results were recorded and analyzed.Results: ESR was performed successfully in 153 patients, 135 with totally extraperitoneal sublay (TES) and 18 with transabdominal sublay (TAS). In 19 patients, TES was performed with the total visceral sac separation (TVS) technique, in which the space separation is carried out along the peritoneum, avoiding damage to the aponeurotic structure. Endoscopic transversus abdominis release (eTAR) was required in 17.0% of patients, and only 18.3% of patients required permanent mesh fixation. The median operative time was 135 min. Most patients had mild pain and resume eating soon after operation. No severe intraoperative complications occurred. Bleeding in the extraperitoneal space occurred in two patients and was stopped by nonsurgical treatment. Seroma and chronic pain were observed in 5.23% and 3.07% of patients. One recurrence occurred after TAS repair for an umbilical hernia.Conclusion: ESR is feasible, safe, and effective for treating ventral hernias when surgeons get the relevant surgical skills, such as the technique of “partition breaking,” TVS, and eTAR. Small-to-medium ventral hernias are the major indications.

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Hernia Repair: Robot or No Robot?

Madion

Higgins

2022

The SAGES Manual of Quality, Outcomes and Patient Safety

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Comparative review of outcomes: laparoscopic and robotic enhanced-view totally extraperitoneal (eTEP) access retrorectus repairs

Cited by 52 publications

References 19 publications

A Preliminary Multicenter Evaluation of Endoscopic Sublay Repair for Ventral Hernia From China

A Preliminary Multicenter Evaluation of Endoscopic Sublay Repair for Ventral Hernia From China

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China

Hernia Repair: Robot or No Robot?

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