The Laparo- Endoscopic Enhanced View Totally Extraperitoneal (e-TEP) Repair for Inguinal Hernia: Initial experience at Mahatma Gandhi Hospital, Jaipur.

Abstract

Background:     

The laparo-endoscopic totally extraperitoneal approach for repair of inguinal hernia (TEP) is preferred technique over intraperitoneal approach because it does not penetrate the peritoneal cavity and intraperitoneal complications can be avoided but main limitation of this extraperitoneal approach is limited preperitoneal working space. For this, there is new novel Laparo-endoscopic technique enhanced view totally extra peritoneal approach (e-TEP) with less operative time, enlarged working space, no fighting of instruments, easily learned by residents, even for large inguinoscrotal hernia and in obese individual. We present our experience of e-TEP approach for inguinal hernia from a tertiary care centre in North India over one year duration.

Methods: Electronically maintained data of patients who underwent e-TEP for inguinal hernia during a period of July 2021 to July 2022 was reviewed retrospectively. Their demographic data, intraoperative details, postoperative complications and follow up data for a period of 6 months was noted.

Results.

37 patients underwent e-TEP repair for inguinal hernia. Out of 37 patients, 33 had unilateral inguinal hernia and 4 patients had bilateral inguinal hernia. There was no need for drain placement in any of the cases. No case was converted to open. No case was converted to open. Zero recurrence rate was noted.

Conclusion.

e-TEP is a minimally invasive approach which is safe, feasible and also avoids placement of mesh in peritoneal cavity.