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Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:

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The role of indocyanine green fluorescence angiography in ventral hernia repair.

Hernia : the journal of hernias and abdominal wall surgery·2024
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Optimizing laparoscopic eTEP inguinal hernia repair: challenges and solutions.

Rajesh Shrivastava1, Nazrah Shaikh2

  • 1Department of General Surgery, Shreeji Hospital, Deheli, Bhilad, Valsad, Gujarat, 396105, India.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|May 8, 2025
PubMed
Summary

Extended Totally Extraperitoneal (eTEP) hernia repair offers advantages but has a learning curve. This study details complications and solutions for laparoscopic eTEP inguinal hernia repairs, aiming to improve patient outcomes and safety.

Keywords:
ComplicationsHernia repairInguinal herniaLaparoscopic eTEP inguinal hernia repairLaparoscopic surgery

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Innovation
  • Hernia Repair Techniques

Background:

  • Totally Extraperitoneal (TEP) repairs revolutionized hernia surgery.
  • Extended Totally Extraperitoneal (eTEP) repairs enhance TEP by expanding visualization.
  • Laparoscopic eTEP offers benefits but presents a steep learning curve and potential management challenges.

Purpose of the Study:

  • To identify and analyze complications encountered during laparoscopic eTEP inguinal hernia repairs.
  • To propose practical solutions for managing these identified complications.
  • To enhance patient safety and surgical outcomes in eTEP procedures.

Main Methods:

  • Prospective observational study.
  • Single-center, single-team data collection from January 2020 to October 2023.
  • Analysis of 252 patients undergoing laparoscopic eTEP inguinal hernia repair, including demographics, comorbidities, and intra/post-operative outcomes.

Main Results:

  • Key intra-operative/early complications included peritoneal rents (10.32%), early pneumoperitoneum (5.15%), and inferior epigastric artery injury (0.4%).
  • Late complications observed were seroma (1.59%) and chronic pain (1.98%).
  • No cases of visceral injury or surgical site infection were reported in this cohort.

Conclusions:

  • Addressing complications in laparoscopic eTEP repairs is crucial for patient safety and improved results.
  • Implementing suggested strategies can enhance surgical outcomes and patient well-being.
  • This study provides valuable insights for surgeons performing eTEP repairs.