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Objective. To analyze the short-term results of the standardized eTEP-RS/TAR technique for hernioplasty of ventral and incision-al hernias. Materials and methods. A retrospective single-center study was carried out based on L.G. Sokolov North-Western Regional Scientific and Clinical Center. The study included 58 patients with ventral hernias (primary or postoperative) who underwent endoscopic eTEP surgery. Results. Hernioplasty eTEP-RS was performed in 39 patients, eTEP-RS TAR in 12 patients and — eTEP-RS uni-TAR — in 7 patients. The average duration of operations was 156±63.6 minutes. The average area of the defect and the mesh implant was 51.0±63.5 and 468±212 cm2. There was no fixation of the mesh implant in none of the cases of hernioplasty. The average score on the visual analog scale of pain on the 1st postoperative day was 2.71±1.39 points, which is regarded as moderate pain. Retromuscular hematoma occurred in one patient (1.7%), that required repeated surgical treatment. The formation of seromas was detected in 4 patients (6.8%) mainly after eTEP-RS TAR and eTEP-RS uni-TAR. Conclusion. eTEP-RS/TAR technologies are a relatively safe approach for hernia repair of ventral hernias. Advantages of the technique include no need of fixation of the implant, low postoperative pain. The disadvantages are related to the technical limitations of the method, long learning curve and the long duration of the operations. Further research is needed to more accurately determine the place of eTEP technology in hernia practice.
Translated title of the contribution | Initial experience of totally extraperitoneal (eTEP) repair for ventral hernias |
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Original language | Russian |
Pages (from-to) | 32-40 |
Number of pages | 9 |
Journal | ЭНДОСКОПИЧЕСКАЯ ХИРУРГИЯ |
Volume | 28 |
Issue number | 1 |
DOIs | |
State | Published - 2022 |
ID: 99668961