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This research aims to demonstrate a hybrid surgical technique for managing rectus diastasis associated with ventral hernia using the ENDOP method.

February 2, 2026Surgical EndoscopyOpen Access

Hybrid approach for ventral hernia associated with rectus diastasis: endoscopic single-port diastasis plication with open preperitoneal hernia repair. ENDOP technique in 10 steps

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This research aims to demonstrate a hybrid surgical technique for managing rectus diastasis associated with ventral hernia using the ENDOP method.
Detailed step-by-step explanation of the ENDOP technique
Illustrated with a video case of a 43-year-old female patient
Combination of endoscopic plication and open mesh repair
Single-incision approach
Eleven patients underwent the ENDOP procedure with no intraoperative complications.
73% of patients were female, with an average age of 55.4 years and BMI 28.6.
Mean hernia defect size was 1.64 cm, and mean transverse diastasis was 5 cm.
Four patients experienced minor complications, classified as Clavien–Dindo I.
Mean follow-up duration was 13 months.

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Demonstrates a hybrid surgical technique for hernia and diastasis repair, suggesting it is safe and effective in a clinical setting.

Bosch-Silvela et al. (2026) studied this question.

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