e-TEP Retromuscular Repair for Recurrent Incisional Hernias: Report of Three Cases

Introduction. Recurrent incisional hernias are difficult to treat. There are many factors involved in the recurrence, and due to extensive dissections, the planes are fused with adhesions, and we may need a new plane for dissection and placement of meshes. Case Report. We report here three cases of...

Full description

Saved in:
Bibliographic Details
Published in:Case reports in surgery 2019, Vol.2019 (2019), p.1-6
Main Authors: Pangeni, Anang, Pandit, Rabin, Byanjankar, Bikram, Shakya, Vikal Chandra, Shrestha, Anir Ram Moh
Format: Article
Language:English
Subjects:
Abdomen
Case Report
Case reports
Cholecystectomy
Defects
Diseases
Endoscopy
Hernia
Hernias
Laparoscopy
Relapse
Repair
Surgery
Tomography
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Introduction. Recurrent incisional hernias are difficult to treat. There are many factors involved in the recurrence, and due to extensive dissections, the planes are fused with adhesions, and we may need a new plane for dissection and placement of meshes. Case Report. We report here three cases of recurrent incisional hernias which were dealt by a relatively new method to laparoscopy: the enhanced view totally extraperitoneal repair (e-TEP) retromuscular technique. There were three patients: one after an open onlay repair of lower midline incision, another after an onlay mesh repair of a subcostal incision for open cholecystectomy followed by an intraperitoneal onlay mesh hernioplasty (IPOM) repair, and another after IPOM repair of epigastric hernia. They were treated with the abovementioned technique with satisfying short-term results. Conclusion. The e-TEP technique is a relatively new method of providing minimal access surgery to these patients utilizing the previously unaccessed retromuscular (Rives and/or preperitoneal) space for the repair of these recurrent incisional hernias.
ISSN:2090-6900
2090-6919
DOI:10.1155/2019/1609193