Abstract：
OBJECTIVE: Enhanced-view totally extraperitoneal plasty (eTEP) has been used worldwide to repair ventral hernias. This study aimed to describe a novel technique to insert ports and create retromuscular space in more detail.
METHODS: From 2020 to 2022, 23 consecutive ventral hernia repairs were performed using the eTEP technique. In all cases, inside-to-outside puncture following endoscopic localization was utilized to insert ports and create retromuscular space.
RESULTS: All cases were completed with the eTEP technique, and no cases with conversion to open repair or IPOM technique. There were no epigastric vessel injuries and posterior sheath tears due to puncture. In addition, no postoperative hematoma cases were reported.
CONCLUSIONS: Inside-to-outside puncture following endoscopic localization to insert ports and create retromuscular space is a safe, feasible, reproducible technique in eTEP for ventral hernia repair.
METHODS: From 2020 to 2022, 23 consecutive ventral hernia repairs were performed using the eTEP technique. In all cases, inside-to-outside puncture following endoscopic localization was utilized to insert ports and create retromuscular space.
RESULTS: All cases were completed with the eTEP technique, and no cases with conversion to open repair or IPOM technique. There were no epigastric vessel injuries and posterior sheath tears due to puncture. In addition, no postoperative hematoma cases were reported.
CONCLUSIONS: Inside-to-outside puncture following endoscopic localization to insert ports and create retromuscular space is a safe, feasible, reproducible technique in eTEP for ventral hernia repair.
摘要：
目的：增强视图完全腹膜外成形术（eTEP）已在世界范围内用于修复腹侧疝。这项研究旨在描述一种新的技术来更详细地插入端口并创建肌肉后空间。
方法：从2020年到2022年，使用eTEP技术进行了23例连续的腹侧疝修补术。在所有情况下,内窥镜定位后的内外穿刺用于插入端口并形成肌肉后间隙.
结果：所有病例均采用eTEP技术完成，没有转换为开放式修复或IPOM技术的情况。没有因穿刺而造成的上腹部血管损伤和后鞘撕裂。此外,无术后血肿病例报告。
结论：内窥镜定位以插入端口并创建肌肉后空间后的从内到外穿刺是安全的，可行,eTEP腹侧疝修补术的可重复性技术。
方法：从2020年到2022年，使用eTEP技术进行了23例连续的腹侧疝修补术。在所有情况下,内窥镜定位后的内外穿刺用于插入端口并形成肌肉后间隙.
结果：所有病例均采用eTEP技术完成，没有转换为开放式修复或IPOM技术的情况。没有因穿刺而造成的上腹部血管损伤和后鞘撕裂。此外,无术后血肿病例报告。
结论：内窥镜定位以插入端口并创建肌肉后空间后的从内到外穿刺是安全的，可行,eTEP腹侧疝修补术的可重复性技术。
