The use of eTEP hernioplasty in the treatment of ventral hernias

This article is devoted to one of the methods of treatment of ventral hernias, namely eTEP hernio-plasty (Enhanced-view Totally Extraperitoneal Technique). The purpose of the work is a comprehensive review of the surgical technology, comparison of technologies proposed by various authors and highlighting the features of the endoscopic anatomy of the anterior abdominal wall and of the surgical techniques. After that we collected data on the long-term results from these authors, and based on them concluded that all the presented techniques were acceptable and safety. However, to date, in our opinion, insufficient attention has been paid to two aspects of this operation, namely fixation of the prosthesis and drainage of the retromuscular space. It is also worth noting that the issue of specific endoscopic anatomy of the anterior abdominal wall in the aspect of surgical treatment of ventral hernias is discussed by a small number of authors, while the same anatomical landmarks may have different names. In this work, we have combined all the best practices and suggestions from the authors of publications on this topic. This work was presented at 1st Congress of International Society for Clinical Physiology and Pathology (ISCPP 2023).