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Anatomical Considerations and Tips for Laparoscopic and Robotic-Assisted Enhanced-View Totally Extraperitoneal Rives-Stoppa Repair for Midline Hernia.

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The enhanced-view totally extraperitoneal (eTEP) approach fulfills all modern principles for the repair of ventral hernias. In the hands of well-trained hernia surgeons, the approach is safe and effective and… Click to show full abstract

The enhanced-view totally extraperitoneal (eTEP) approach fulfills all modern principles for the repair of ventral hernias. In the hands of well-trained hernia surgeons, the approach is safe and effective and improves the patient's quality of life, as demonstrated in more than 30 publications in the last 2 years. However, the eTEP approach is a complex operation that requires in-depth understanding of the extraperitoneal abdominal wall anatomy, including its neurovascular structures and natural boundaries. Formal training is necessary, ideally including cadaver dissection and a mentor.

Keywords: hernia; totally extraperitoneal; enhanced view; view totally; anatomical considerations

Journal Title: Journal of the American College of Surgeons
Year Published: 2021

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