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eTEP Rives-Stoppa impact on abdominal contour: a retrospective observational and clinical quality improvement study
Jorge Daes1,2, Elika Luque3, Andrés Hanssen3,4
1Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Clínicas Portoazul e Iberoamérica, Carrera 50 No 79-223 PH B, 850020, Barranquilla, Colombia. jorgedaez@gmail.com.
Surgical Endoscopy
|March 6, 2024
Summary
The eTEP Rives-Stoppa (RS) procedure generally improves abdominal contour, but some patients experience upper abdominal bulging. Objective analysis using the Ellipse 9 tool revealed differences between bulging and non-bulging groups.
Area of Science:
- Abdominal wall reconstruction
- Minimally invasive surgery
- Hernia repair outcomes
Background:
- The eTEP Rives-Stoppa (RS) procedure is increasingly used for ventral hernia repair.
- Concerns exist regarding postoperative upper abdominal bulging after eTEP RS.
- Objective evaluation of abdominal contour changes is needed.
Purpose of the Study:
- To objectively evaluate abdominal contour changes after eTEP RS.
- To explore potential causes of upper abdominal bulging.
- To assess the utility of the Ellipse 9 analytical tool.
Main Methods:
- 30 patients undergoing eTEP RS without posterior rectus sheath closure were studied.
- CT scans were analyzed pre- and post-surgery (3 months) using the Ellipse 9 tool.
- Measurements included linea semilunaris distance, abdominal eccentricity, and perimeter; patient-reported outcomes were also collected.
Main Results:
- Most patients showed improved abdominal contour with a trend towards a flatter abdomen.
- 17% of patients developed upper abdominal bulging.
- Significant differences in abdominal measurements were found between bulging and non-bulging groups.
- Discrepancies between patient perception and objective findings were noted.
Conclusions:
- eTEP RS improved abdominal contour in most patients studied.
- The Ellipse 9 tool effectively provided objective analysis of abdominal contour changes.
- Upper abdominal bulging post-eTEP RS appears multifactorial.
- Patient perception of bulging often differed from objective clinical findings.
