2022 Volume 47 Issue 2 Pages 90-99
Purpose: Extended totally extraperitoneal Rivers-Stoppa repair for abdominal wall hernia (eTEP RS) has been introduced, and we examined the results in 20 cases at our institution.
Method: The eTEP RS method was adopted in 20 patients with abdominal wall hernia at our institution between April 2018 and April 2021, and the treatment results were analyzed retrospectively.
Result: The median operation time was 254 (165-378) minutes, the median bleeding volume was 20 (3-80) ml, and the median postoperative hospital stay was 6 (4-21) days. Complications included one case of postoperative paralytic bowel obstruction and two cases of seroma.
Conclusion: The eTEP RS method is a useful procedure that combines the advantages of endoscopic surgery and the Rives-Stoppa method. While issues of eTEP RS that need to be addressed include shortening of the operation time by standardizing the surgical procedure and long-term treatment results, this method may be one of the surgical choices for abdominal wall hernias in the future.