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Comparison of eTEP and IPOM for ventral hernia surgery in the early postoperative period: a retrospective cohort study of a tertiary university centre

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Název: Comparison of eTEP and IPOM for ventral hernia surgery in the early postoperative period: a retrospective cohort study of a tertiary university centre
Autoři: Lukas Wieland, Fadl Alfarawan, Maximilian Bockhorn, Nader El-Sourani
Zdroj: Hernia
Informace o vydavateli: Springer Science and Business Media LLC, 2024.
Rok vydání: 2024
Témata: Male, Adult, Female [MeSH], Length of Stay/statistics, Laparoscopy/methods [MeSH], Aged [MeSH], Laparoscopy/adverse effects [MeSH], Adult [MeSH], Humans [MeSH], Tertiary Care Centers [MeSH], Retrospective Studies [MeSH], Middle Aged [MeSH], Ventral hernias, Hernia, Ventral/surgery [MeSH], Herniorrhaphy/adverse effects [MeSH], Surgical Mesh [MeSH], Original Article, eTEP, Male [MeSH], Extraperitoneal, Postoperative Complications/etiology [MeSH], Herniorrhaphy/methods [MeSH], Operative Time [MeSH], IPOM, Operative Time, Middle Aged, Surgical Mesh, Length of Stay, Hernia, Ventral, Tertiary Care Centers, Postoperative Complications, Humans, Female, Laparoscopy, Herniorrhaphy, Retrospective Studies, Aged
Popis: Purpose The extended totally extraperitoneal technique (eTEP) is a relatively new laparoscopic approach to address ventral hernias. Since this technique is not widely used yet, the literature regarding its efficacy and safety is limited, especially when compared to more established surgical techniques like intraperitoneal onlay mesh (IPOM). This study aimed at contributing to the expanding body of evidence for eTEP, by comparing the early outcomes of eTEP and IPOM surgeries for ventral hernias. Methods This monocentric, retrospective cohort study compared patients with ventral hernias that were treated with eTEP or IPOM from 2019 to 2023. Results A total of 123 patients were analysed. 92 underwent eTEP and 31 IPOM respectively. Both groups were overall comparable. The IPOM group had a higher proportion of incisional hernias (61,29% vs. 21,74%, p p p = 0,043) and a lower rate of postoperative complications in eTEP (eTEP: 4,17%, IPOM: 25%. p = 0,009). The eTEP group reported lower postoperative pain, yet without statistical significance. Conclusion eTEP for ventral hernia repair appears to be non-inferior to IPOM. Compared to IPOM it leads to shorter postoperative hospital stay and a potentially lower complication rate, despite a longer operation time.
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1248-9204
DOI: 10.1007/s10029-024-03125-6
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/39283406
https://repository.publisso.de/resource/frl:6496430
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....4b73a55cc7edb10daba2bc6a0948a77c
Databáze: OpenAIRE
Popis
Abstrakt:Purpose The extended totally extraperitoneal technique (eTEP) is a relatively new laparoscopic approach to address ventral hernias. Since this technique is not widely used yet, the literature regarding its efficacy and safety is limited, especially when compared to more established surgical techniques like intraperitoneal onlay mesh (IPOM). This study aimed at contributing to the expanding body of evidence for eTEP, by comparing the early outcomes of eTEP and IPOM surgeries for ventral hernias. Methods This monocentric, retrospective cohort study compared patients with ventral hernias that were treated with eTEP or IPOM from 2019 to 2023. Results A total of 123 patients were analysed. 92 underwent eTEP and 31 IPOM respectively. Both groups were overall comparable. The IPOM group had a higher proportion of incisional hernias (61,29% vs. 21,74%, p p p = 0,043) and a lower rate of postoperative complications in eTEP (eTEP: 4,17%, IPOM: 25%. p = 0,009). The eTEP group reported lower postoperative pain, yet without statistical significance. Conclusion eTEP for ventral hernia repair appears to be non-inferior to IPOM. Compared to IPOM it leads to shorter postoperative hospital stay and a potentially lower complication rate, despite a longer operation time.
ISSN:12489204
DOI:10.1007/s10029-024-03125-6