Precostal top-down extended totally extraperitoneal ventral hernia plasty (eTEP): simplification of a complex technical approach

ConclusionWith technical modification of precostal access and pneumatic balloon dilation of both retro-rectus compartments, the complex procedure can be simplified through time saving and straightforward unidirectional ‘top-down’ dissection. The better overview facilitates the crossover for connecting both retro-rectus spaces. In addition, the cranial access allows the anterior- and posterior layers to be closed up to the xiphoid.
Source: Hernia - Category: Sports Medicine Source Type: research