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Related Experiment Video

Updated: Feb 26, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Totally extraperitoneal approach for ventral hernia.

Sante Capitano1

  • 1Department of General Surgery, Italian National Institute on Aging (INRCA), Via della Montagnola 71, Ancona, Italy. santecapitano78@gmail.com.

Surgical Endoscopy
|July 23, 2017
PubMed
Summary
This summary is machine-generated.

This study presents a safe and feasible endoscopic technique for extraperitoneal ventral hernia repair, offering mesh protection and improved patient comfort. Further comparison with existing endoscopic methods is needed.

Keywords:
EndoscopicExtraperitonealRetromuscularTEP repairVentral Hernia

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Area of Science:

  • Minimally Invasive Surgery
  • Abdominal Wall Reconstruction
  • Surgical Technology

Background:

  • Extraperitoneal sublay mesh implantation is preferred in open surgery for ventral hernias.
  • Endoscopic totally preperitoneal ventral hernia repair was described but not widely adopted due to technical challenges.
  • The effectiveness of endoscopic techniques for ventral hernia repair requires further investigation.

Purpose of the Study:

  • To demonstrate the operative technique and feasibility of endoscopic extraperitoneal mesogastric hernia repair.
  • To highlight the safety and potential benefits of this minimally invasive approach.
  • To encourage further research and comparison of endoscopic ventral hernia repair techniques.

Main Methods:

  • Endoscopic repair using a totally extraperitoneal approach with CO2 insufflation in Retzius space.
  • Placement of three trocars and dissection in the correct retromuscular plane.
  • Reduction of hernia sac, closure of defects, and placement of a composite mesh without fixation.

Main Results:

  • The procedure took 150 minutes with no blood loss.
  • Patients experienced pain medication interruption on postoperative day 1 and discharge on day 2.
  • Ultrasound assessment at one week post-surgery evaluated for seroma presence.

Conclusions:

  • The endoscopic totally extraperitoneal (TEP) approach for ventral hernia is safe and feasible.
  • Innovative aspects include non-exposure of the mesh to viscera and avoidance of fixation systems.
  • Further comparative studies of current endoscopic techniques are necessary.