LAUSR

The best approaches to repair inguinoscrotal hernias are still debated. Extended totally extraperitoneal repair technique (e-TEP) represents a modification of the traditional TEP method. The role of this technique is to overcome the limitations of the classical technique (limited dissection space), while still keeping the main advantages. The e-TEP technique allows an additional dissection space, a large surgical field and a very flexible trocarization, adaptable to many clinical situations and also good tolerance to pneumoperitobeum Our team uses the e-TEP technique to repair most cases of inguinal hernias. Between May 2017 and January 2023, we performed 102 operations, using the e-TEP technique. I used macroporous polypropylene mesh 15/12, fixed with cyanoacrylate. For a total of 102 cases, we registered a total of 6 self-limiting seromas, two cases were converted to open surgery, one wound infection and three recurrences. Patients were followed up one week, three months and one year, postoperatively. One patient presented with chronic pain one year postoperatively. The operating time was about 60–90 minutes. Our experience with the e-TEP procedure has been satisfactory. We had no major complications, neither intra, or post-operatively, and the functional results were excellent. The operating time was found to be longer than usual at the beginning of the use of this technique, attributed to the novelty of the technique, the longer laryngeal curve and the complexity of the cases.