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General and digestive surgery

Find all the surgical interventions, lectures, experts opinions, debates, webinars and operative techniques per specialty.
eTEP (extended view) repair of a direct and a femoral hernia
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.
J Daes, B Jacob
Surgical intervention
4 years ago
3989 views
183 likes
2 comments
08:13
eTEP (extended view) repair of a direct and a femoral hernia
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.
Laparoscopic treatment of an incarcerated right femoral hernia in a female patient
Femoral hernia is predominantly a female disorder. Incarcerated femoral hernia is a common surgical emergency condition. Diagnosis is always obvious and straightforward by clinical examination, and open surgical repair was the mainstay of treatment. In the era of minimally invasive surgery, laparoscopic repair of femoral hernia has been shown to be feasible and safe. This video shows the laparoscopic trans-abdominal preperitoneal repair of a right femoral hernia in a female patient who has had an appendectomy and who presented to emergencies with pain in the right inguinal region associated with nausea and vomiting. This procedure was performed by a skilled surgeon fellow telementored by Prof. Leroy, a world-renowned expert in laparoscopic hernia repair surgery.
F Costantino, J Leroy, J Marescaux
Surgical intervention
9 years ago
2979 views
215 likes
1 comment
05:53
Laparoscopic treatment of an incarcerated right femoral hernia in a female patient
Femoral hernia is predominantly a female disorder. Incarcerated femoral hernia is a common surgical emergency condition. Diagnosis is always obvious and straightforward by clinical examination, and open surgical repair was the mainstay of treatment. In the era of minimally invasive surgery, laparoscopic repair of femoral hernia has been shown to be feasible and safe. This video shows the laparoscopic trans-abdominal preperitoneal repair of a right femoral hernia in a female patient who has had an appendectomy and who presented to emergencies with pain in the right inguinal region associated with nausea and vomiting. This procedure was performed by a skilled surgeon fellow telementored by Prof. Leroy, a world-renowned expert in laparoscopic hernia repair surgery.