P-024 INITIAL EXPERIENCE OF EXTENDED TEP REPAIR FOR VENTRAL AND INCISIONAL HERNIAS IN OUR HOSPITAL

Abstract

Abstract Aim The purpose of this study was to investigate the treatment outcomes and feasibilities of the enhanced view totally extraperitoneal (eTEP) repair for ventral and incisional hernias in our hospital. Material & Methods We retrospectively reviewed the medical records of patients who underwent eTEP repair for ventral and incisional hernias in our hospital from October 2018 to April 2022. Demographic information, preoperative evaluations, intraoperative variables, postoperative outcomes were collected and analyzed. The surgical techniques were followed the article published by Daes et al in 2021. Results Thirty-two patients underwent eTEP repair during the study period. These patients had mean age of 60.8 years, mean BMI 27.1 kg/m2, and median ASA score 2. Twenty-six had incisional hernias (4 were recurrent incisional hernias) and six were primary ventral hernias. Nineteen had hernias in M3 location, mean defect width and length size were 6.00 and 7.47 cm. Sixteen had diastasis rectis and eight had incarcerations at the time of surgery. Twenty-eight underwent eTEP Rives-Stoppa (RS) repair (23 the conventional laparoscopic ports, 2 reduced ports, 1 single port, and 1 robotic). Four underwent eTEP transversus abdominis release (TAR) using the conventional laparoscopic ports. Mean operation time was 199 (±48.5) minutes and mean estimate blood loss volume was 25.8 (±27.2) ml. The common postoperative complications were seroma and voiding difficulty and mean hospital stay length was 8.25 (±4.45) days. There were two recurrences within follow-up period. Conclusion Our initial experience of eTEP repair for ventral and incisional hernias showed favorable treatment outcomes and feasibilities.