Case 2

(Extended Totally Extraperitoneal Rives-Stoppa)

35y/F with ventral hernia (M3,W1) with divarication of recti

In eTEP-RS, the mesh is placed in the retro-rectus plane rather than in the peritoneum, as is commonly done in IPOM laparoscopic ventral hernia repair. This approach offers several advantages :

it allows placement of a larger mesh that can cover the entire anterior abdominal wall, including the inguinal region; it permits the use of a standard polypropylene mesh instead of the more expensive dual mesh; it avoids direct contact between the mesh and bowel; and it enables correction of divarication without the need for the long incision required in open surgery. Additionally, mesh fixation is usually unnecessary, resulting in less postoperative pain and a shorter hospital stay.
Patient recovered well