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Surgical debridement and type 1 collagen extracellular matrix plus polyhexamethylene biguanide for the management of pressure injuries.

Journal of wound care·2025
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Robotic eTEP inguinal hernia repair.

Gabriel Arevalo1, Karla Chavez2, Cesar Amaya2

  • 1Houston Methodist Hospital Willowbrook, Houston, TX, USA. garevalo@houstonmethodist.org.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
|December 12, 2025
PubMed
Summary

Robotic enhanced-view totally extraperitoneal (r-eTEP) repair is a safe and effective method for inguinal hernias. This approach improves visualization and patient quality of life, offering a promising surgical alternative.

Keywords:
ETEP techniqueExtraperitoneal dissectionHernia surgery outcomesInguinal hernia repairQuality of lifeRobotic surgery

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Area of Science:

  • Minimally Invasive Surgery
  • Robotic Surgery
  • Hernia Repair

Background:

  • The enhanced-view totally extraperitoneal (eTEP) technique has advanced abdominal wall hernia repair.
  • Robotic surgery offers enhanced visualization and maneuverability.
  • This study applies e-TEP principles to robotic inguinal hernia repair.

Purpose of the Study:

  • To evaluate the feasibility and safety of robotic eTEP for inguinal hernia repair.
  • To assess perioperative outcomes and quality of life following r-eTEP.
  • To present single-institution experience with this novel approach.

Main Methods:

  • Prospective review of 36 patients undergoing robotic eTEP inguinal hernia repair.
  • Data collected included demographics, operative time, and EURA QS quality of life scores.
  • Complete extraperitoneal dissection was performed, including arcuate line/transversalis fascia division.

Main Results:

  • Median operative time was 61 minutes.
  • Significant improvements in postoperative quality of life were observed (p < 0.001).
  • Low complication rates with 2 seromas and no recurrences or major complications.

Conclusions:

  • The robotic eTEP (r-eTEP) approach enhances visualization and maneuverability compared to standard robotic TEP.
  • r-eTEP demonstrates favorable perioperative outcomes.
  • This technique is a safe and effective alternative for inguinal hernia repair.