Practice and short-term outcomes in ventral hernia repair: a prospective multicenter data audit of Indian Association of Gastrointestinal Endo Surgeons Research Collaborative

Baig, Sarfaraz Jalil; Afaque, Yusuf; Priya, Pallawi; Sheth, Harsh; Goel, Ramen; Mahawar, Kamal; Rajyaguru, A. M.; Sharma, Abadhesh; Ambalamcheri, Abdul Basith; Basu, Abhimanyu; Gupta, Akash; Chaudhary, Adarsh; Singh, Amanjeet; Ahuja, Anmol; Baba, Asif Nazir; Khaitan, Ashish; Oommen, Ashok Ninan; Thangavelu, Ashwin; Peters, Atul; Perwaiz, Azhar; Vaishnani, Bhavesh V.; Gandhi, Chinmay; Parikh, Chirag R.; Rai, Debkumar; Goel, Deep; Veetil, Deepa Kizhakke; Vashistha, Ashish; Jain, Mohit; Khiangte, Elbert; Momin, Erbaz Riyaz; Singh, Gurbhaij; Bhatt, Jatin; Kumari, Kamlesh; Lakshman, K.; Deka, Kunal; Bains, Lovenish; Mehrotra, Magan; Mehta, Minesh P.; Bharucha, Manoj; Sharma, Meenakshi; Alexander, Naveen; Rayate, Neeraj; Jain, Nikhil; Mehrotra, Nikhil; Lakshmikantha, Nishanth; NoushifNayak, M. Partha Sarathi; K, Pooja; Gupta, Pranoy; A, Prashanth; Praveen, V. A.; Prakash, Prem; Rakshit, Purbaday; Bhojwani, Rajesh; Gupta, Rajkumar; Wadhawan, Randeep; Agarwalla, R.; Rizvi, Syed Amjad Ali; Rege, Sameer; Ray, Sandip; Dubey, Sanjay Kumar; Shetty, Sanjeev Vikram; Pattanshetti, Satish; Hiremath, S.V.; Khanna, Subhash; Mishra, Subhash C.; Dey, Sumanta; Jain, Sumita; Das, Surajit; Mittal, Tarun; Krishna, Vamsi M.; Borgaonkar, Vijay; Singhal, V.; Soni, Vishal

doi:10.1007/s10029-022-02666-y

Cited by 1 publication

(2 citation statements)

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“…eTEP-RS comprised 5.9% and 1.8% of primary ventral and incisional hernia repair, respectively, whereas eTEP-TAR comprised 1.1% of incisional hernia repair. 11 In a 10-year data (2010-2019) from the Herniamed registry analyzing 61 627 incisional hernia repair techniques, the use of new minimally invasive extraperitoneal techniques such as endoscopic mini-or less-open sublay and eTEP showed a significant increase starting 2015. Its use increased from 4.5% in 2013 to 10% in 2019.…”

Section: Discussionmentioning

confidence: 99%

“…Surgeons from India reported their first multicenter ventral hernia repair practices and outcomes in 2022 covering a total of 648 patients (from January to April 2021) with a minimum follow‐up of 90 days. eTEP‐RS comprised 5.9% and 1.8% of primary ventral and incisional hernia repair, respectively, whereas eTEP‐TAR comprised 1.1% of incisional hernia repair 11 …”

Section: Discussionmentioning

confidence: 99%

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Outcomes after ventral hernia repair using the extended totally extraperitoneal approach: Initial experience from the Philippines

Yap,

Buenafe,

Bejasa

et al. 2024

Asian J Endoscop Surgery

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IntroductionNewer extraperitoneal techniques of laparoscopic ventral/incisional hernia repair (LVIHR) have been continually introduced since the popularity of the laparoscopic intraperitoneal onlay mesh technique began in 1993. One of which is the extended totally extraperitoneal (eTEP) approach allowing wide mesh augmentation, concurrent repair of diastasis recti, and performance of transversus abdominis release (TAR) for large/complex hernias. However, minimally invasive/laparoendoscopic ventral hernia repair is not yet widely adopted in the Philippines. We aim to share our preliminary experience with LVIHR using the eTEP approach.MethodsThis was a retrospective review of all consecutive eTEP repairs for ventral hernia between January 2019 and September 2023. The clinical profiles of all patients were gathered. Hernia characteristics, operative profile, and postoperative outcomes were reported.ResultsThirty‐five patients were included in the study with a mean age of 54.7; 60% were incisional hernias, and the most common hernia location was the umbilical area. A defect size between 4 and 10 cm was reported in 54.3%. eTEP‐TAR was necessary in 12 patients. At a median follow‐up of 16 months, two patients developed seroma, one hematoma, and two surgical site infections. All were successfully managed conservatively. Only one patient developed recurrence.ConclusioneTEP approach is safe and feasible for repairing ventral hernias. Our preliminary experience showed acceptable outcomes similar to the published literature. Surgeons interested in this technique should be familiar with the abdominal wall anatomy, carefully select patients during preoperative planning, and undergo mentorship with hernia surgeons experienced with the technique to shorten the learning curve.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%