eTEP (extended view) repair of a direct and a femoral hernia
Epublication WebSurg.com, Dec 2014;14(12). URL: http://websurg.com/doi/vd01en4393
The eTEP (extended view totally extraperitoneal) technique, a modification of the conventional TEP technique, is based on the anatomical fact that the inguinal preperitoneal space can be reached from almost anywhere on the abdominal wall. The camera port can be placed higher in the abdomen. Its most evident effect is the creation of a larger surgical field. It also allows for a more flexible distribution of ports. In the case presented here, the patient has a midline infra-umbilical laparotomy and a post-bariatric surgery pendulous abdomen. The eTEP technique facilitated the creation of the preperitoneal space in this difficult abdomen, allowing for the diagnosis and repair of the patient’s femoral and direct hernias.