LAUSR

In 2016, E. Pauli described a novel technique for PSH using TAR combined with a modified “Sugarbaker” repair. The present study aimed to assess clinical results of this technique performed by minimally invasive access Data from patients requiring minimally invasive PSH repair were collected. Inclusion criteria: Symptomatic PSH Exclusion criteria: Recurrences with previous retromuscular/intraperitoneal mesh, Incarcerated/strangulated PSH Data collected: Between January 2020 and May 2022, 11 patients were included. 5 patients had a type I PSH, 5 patients a type II and 1 patient a type IV hernia. Mean BMI: 28 kg/m2. Mean width defect: 4.5 cm, length: 4.4 cm. Mean width in cases of midline hernia: 4.3 cm, length: 4 cm. Mean mesh area: 749 cm2.No intraoperative complications were detected. Mean operative time was 180+/-13 minutes.Average stay:2.2 days. Postoperative complications: After follow-up of 16 months, no clinical/radiological recurrence were observed. e-TEP Paulí for PSH is a promising surgical technique with different advantages. No intraperitoneal mesh or traumatic fixation are needed.