Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs

The available options for recurrent incisional hernias (RIH) following previous laparoscopic intraperitoneal onlay mesh (IPOM) plus were open onlay repair, open Rives–Stoppa (RS), laparoscopic enhanced view totally extraperitoneal-RS (ETEP-RS) and laparoscopic subcutaneous onlay mesh repair. Majorit...

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Main Author: K. Ganesh Shenoy
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-04-01
Series:Journal of Minimal Access Surgery
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Online Access:https://journals.lww.com/10.4103/jmas.jmas_152_24
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author K. Ganesh Shenoy
author_facet K. Ganesh Shenoy
author_sort K. Ganesh Shenoy
collection DOAJ
description The available options for recurrent incisional hernias (RIH) following previous laparoscopic intraperitoneal onlay mesh (IPOM) plus were open onlay repair, open Rives–Stoppa (RS), laparoscopic enhanced view totally extraperitoneal-RS (ETEP-RS) and laparoscopic subcutaneous onlay mesh repair. Majority of these RIH were managed by open onlay mesh repairs or laparoscopic Redo IPOM plus. There are not much data available in the literature on the ETEP approach for RIH following previous IPOM plus with the placement of mesh in the retrorectus space. In this article, I would like to share technical aspects, challenges faced and tips to overcome these challenges of performing ETEP for RIH following previous IPOM plus repairs.
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publisher Wolters Kluwer Medknow Publications
record_format Article
series Journal of Minimal Access Surgery
spelling doaj-art-d6a184fca9e14e398ccf103d91e436c42025-08-20T02:16:19ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212025-04-0121221722210.4103/jmas.jmas_152_24Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairsK. Ganesh ShenoyThe available options for recurrent incisional hernias (RIH) following previous laparoscopic intraperitoneal onlay mesh (IPOM) plus were open onlay repair, open Rives–Stoppa (RS), laparoscopic enhanced view totally extraperitoneal-RS (ETEP-RS) and laparoscopic subcutaneous onlay mesh repair. Majority of these RIH were managed by open onlay mesh repairs or laparoscopic Redo IPOM plus. There are not much data available in the literature on the ETEP approach for RIH following previous IPOM plus with the placement of mesh in the retrorectus space. In this article, I would like to share technical aspects, challenges faced and tips to overcome these challenges of performing ETEP for RIH following previous IPOM plus repairs.https://journals.lww.com/10.4103/jmas.jmas_152_24enhanced view totally extraperitoneal-rives–stoppa for recurrent incisional herniarecurrence following intraperitoneal onlay mesh plusrecurrent incisional herniatransversus abdominis release for recurrent incisional hernia
spellingShingle K. Ganesh Shenoy
Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs
Journal of Minimal Access Surgery
enhanced view totally extraperitoneal-rives–stoppa for recurrent incisional hernia
recurrence following intraperitoneal onlay mesh plus
recurrent incisional hernia
transversus abdominis release for recurrent incisional hernia
title Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs
title_full Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs
title_fullStr Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs
title_full_unstemmed Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs
title_short Enhanced view totally extraperitoneal approach: The best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs
title_sort enhanced view totally extraperitoneal approach the best available option for recurrent incisional hernias following previous laparoscopic intraperitoneal onlay mesh plus repairs
topic enhanced view totally extraperitoneal-rives–stoppa for recurrent incisional hernia
recurrence following intraperitoneal onlay mesh plus
recurrent incisional hernia
transversus abdominis release for recurrent incisional hernia
url https://journals.lww.com/10.4103/jmas.jmas_152_24
work_keys_str_mv AT kganeshshenoy enhancedviewtotallyextraperitonealapproachthebestavailableoptionforrecurrentincisionalherniasfollowingpreviouslaparoscopicintraperitonealonlaymeshplusrepairs