A NEW TECHNIQUE THAT FACILITATES SURGERY IN e-TEP REPAIR

With our current knowledge, the e-TEP technique is considered the best anatomical plan to place the synthetic mesh in ventral hernia repair, as it is placed in the retromuscular area (Rives-Stopa Repair). In this technique, closing the existing diastasis recti in midline hernias reduces the recurrence rate. If the midline gap in the diastasis recti is over six cm, it may be technically difficult to close it. Approximating the midline with two or three transfascial sutures during the surgery makes it easier to close this line with a continued suture. In addition, it reduces the load on the midline. In this video presentation, we present the technique we applied. We technically use two self-locking absorbable sutures. We also close the entire distance from the symphysis pubis to the Xiphoid process in the midline. We end by joining the continued sutures, one starting from the pubis and the other from the Xiphoid, in the midline. We preferably place transfascial sutures just below and above the umbilicus. Thus, we ensure that the anatomical hollow structure of the umbilicus is preserved. DynaMesh CICAT. LiquiBand FIX8. V-Loc.