Utilization of enhanced-view total extraperitoneal technique for combined epigastric hernia and umbilical hernia repair: a case report

An epigastric hernia may coexist with other abdominal wall hernias, resulting in the protrusion of abdominal organs through a defect in the linea alba. This case report presents a 46-year-old male with a body mass index of 37 kg/m2, diagnosed with concurrent epigastric and umbilical hernias, as well as diastasis recti. The patient underwent simultaneous hernia repair using the enhanced-view total extraperitoneal (eTEP) technique, a minimally invasive approach that enhances surgical visualization and optimizes port placement while avoiding intraperitoneal mesh placement. The postoperative course was uneventful, with no reported complications. Although eTEP has been increasingly utilized for abdominal wall reconstruction, reports on its application in cases involving combined epigastric and umbilical hernias remain limited. This case contributes to the existing literature by demonstrating the feasibility and effectiveness of eTEP in managing complex abdominal wall defects, particularly in patients with multiple hernias and diastasis recti.