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To Evaluate the Safety and Efficacy of the ETEP Technique in Treating Inguinal Hernias

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Annals of Medicine and Medical Sciences Volume 04 (2025), Version 12 October 28, 2025 pp. 1266 - 1270
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Abstract

Background: Inguinal hernia (IH) refers to the abdominal void protrusion via the inguinal canal. Tension-free hernioplasty (OTFH) is the standard procedure for effective treatment. Laparoscopic totally extraperitoneal prosthesis (TEP) is a novel procedure obviates the need for the opening of the patient's abdominal cavity and allows for a direct operation on the patient's anterior peritoneal space with benefits less pain, faster recovery, and a lower risk of complications. Methods: Prospective study conducted at Department of General Surgery, Government Medical College, to evaluate the safety and efficacy of the ETEP technique in treating inguinal hernias from 1stAugust 2023-31stJuly2024 with sample size of 50 subjects. Results: Primary and incisional hernia was revealed in 56% and 44% of the subjects respectively. Most of the subjects had unilateral hernia (92%). Mean operative time was 121.48±18.97minutes. Mean VAS was 4.8 after 12 hrs of surgery. Mean hospital stay after surgery was 1.2±0.4days. Mean duration to return back to work after surgery was 9.5days. No complication was reported among the study subjects. Conclusion: e-TEP technique is striking among all surgical approaches for laparoscopic hernia repair. eTEP approach gives a wide area to negotiate around and conclude the procedure, thus taking out the shortcomings of TEP/TAPP in inguinal hernias.

References
  1. Shakil A, Aparicio K, Barta E, et al. Inguinal hernias: diagnosis and management. American family physician. 2020;102(8):487-92.
  2. Primatesta P, Goldacre MJ. Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. International journal of epidemiology. 1996;25(4):835-9.
  3. Kingsnorth AN, Bowley DM, Porter C. A prospective study of 1000 hernias: results of the Plymouth Hernia Service. Annals of the Royal College of Surgeons of England. 2003;85(1):18.
  4. Dalenbäck J, Hjortborg M, Rimbäck G. Inguinal hernia in adults. Läkartidningen. 2016;113.
  5. Current issues, problems and prospects of tension-free hernioplasty (review). Georgian Medical News. 2014;232-233:7–12.
  6. Tunio NA. Hernioplasty: Tension free mesh repair versus Mayos repair for umbilical hernias. JPMA. The Journal of the Pakistan Medical Association. 2017;67(1):24-6.
  7. Rege SA, Churiwala JJ, Kaderi AS, et al. Comparison of efficacy and safety of the enhanced-view totally extraperitoneal (eTEP) and transabdominal (TARM) minimal access techniques for retromuscular placement of prosthesis in the treatment of irreducible midline ventral hernia. Journal of Minimal Access Surgery. 2021;17(4):519-24.
  8. Li JW, Yue F. Application of membrane anatomy theory in totally extraperitoneal inguinal hernia repair. Zhonghuawei Chang waike za zhi= Chinese Journal of Gastrointestinal Surgery. 2021;24(7):604-10.
  9. Fernandez SS, Vilarrasa MF, Silla IO, et al. Extended totally extraperitoneal (eTEP) approach for ventral hernia repair: initial results. Cirugía Española (English Edition). 2020;98(5):260-6.
  10. Singh S, Kala S, Jauhari RK, et al. A prospective randomized study of eTEP and TEP repair for inguinal hernia in terms of ease of operability, complication and recurrences. Asian Journal of Medical Sciences. 2022;13(3):87-94.
  11. Köckerling F, Bittner R, Kuthe A, et al. TEP or TAPP for recurrent inguinal hernia repair-register-based comparison of the outcome. SurgEndosc. 2017;31(10):3872-3882.
  12. Penchev D, Kotashev G, Mutafchiyski V. Endoscopic enhanced-view totally extraperitoneal retromuscular approach for ventral hernia repair. Surgical endoscopy. 2019;33:3749-56.
  13. Baig SJ, Priya P. Extended totally extraperitoneal repair (eTEP) for ventral hernias: Short-term results from a single centre. Journal of minimal access surgery. 2019;15(3):198-203.
  14. Novitsky YW, Elliott HL, Orenstein SB et al. Transversus abdominis muscle release: A novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg. 2012;204(5):709-16.
  15. Binnebösel M, Klink CD, Otto J, et al. Impact of mesh positioning on foreign body reaction and collagenous ingrowth in a rabbit model of open incisional hernia repair. Hernia. 2010;14:71-7.
  16. Karim T, Katiyar VK, Jain A, et al. Comparison of trans-abdominal preperitoneal repair with Lichtenstein tension-free hernioplasty: A prospective study. Formos J Surg. 2021;54:19-24.
  17. Kumar N, Palanisamy NV, Parthasarathi R, et al. A comparative prospective study of short-term outcomes of extended view totally extraperitoneal (e-TEP) repair versus laparoscopic intraperitoneal on lay mesh (IPOM) plus repair for ventral hernia. Surgical Endoscopy. 2021;35:5072-7.
  18. Joshi J and Dekhaiya F. A Comparative study between E-TEP versus IPOM hernia repair. IOSR J Dent Med Sci. 2020;19(3):19-21.
  19. Vinay G and Balasubrahmanya KS. Comparative study on laparoscopic transabdominal pre-peritoneal (TAPP) mesh repair and total extra-peritoneal (TEP) repair in inguinal hernia. Madridge J Surg. 2018;1(1):9-13.
  20. Sharma D, Yadav K, Hazrah P, et al. Prospective Randomized trial comparing laparoscopic transabdominal preperitoneal (TAPP) and laparoscopic totally extra peritoneal (TEP) approach for bilateral inguinal hernias. Int J Surg 2015;22:110-7.
  21. Hallen M, Bergenfelz A and Westerdahl J. Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: Long-term follow-up of a randomized controlled trial. Surgery. 2008;143(3):313-7.
  22. Rekhi HS, Singh G, Sharma E et al. Assessment of perioperative outcome in primary unilateral inguinal hernia: A comparative study. Int J Surg Sci. 2020;4(2):229-32.
  23. Reza SM, Hoque MM, Akther SM, et al. Early outcomes of extended view total extraperitonial (eTEP) procedure for inguinal hernia. J Shaheed Suhrawardy Med Coll. 2019;11(2):96-100.
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