Pitfalls and complications of enhanced-view totally extraperitoneal approach to abdominal wall reconstruction

Sergio Mazzola Poli de Figueiredo, Igor Belyansky, Richard Lu

Research output: Contribution to journalReview articlepeer-review


Background: The enhanced-view totally extraperitoneal access technique (eTEP) to minimally invasive retromuscular abdominal wall reconstruction is a relatively novel technique that has continued to gain popularity. There is a paucity of information regarding the prevention and management of eTEP complications. We reviewed the literature to evaluate the complications reported with eTEP ventral hernia repair and discuss the main complications associated with this technique. Methods: A literature search via PubMed was performed focusing on eTEP ventral hernia repair. Based on the available literature and own practice experience, the authors discuss key strategies for preventing and managing complications associated with the eTEP approach. Results: One hundred fifty studies were identified. Forty-seven studies were fully reviewed and twenty-four were included in this review. The technical details of the technique were described as performed by the authors. Postoperative complications were classified into different categories and discussed separately. Conclusion: As the eTEP approach continues to gain popularity, it is essential to consider its unique complications. A focus on prevention with anatomical bearings and sound surgical technique is paramount.

Original languageEnglish (US)
Pages (from-to)3354-3363
Number of pages10
JournalSurgical Endoscopy
Issue number5
StatePublished - May 2023


  • Abdominal wall reconstruction
  • Complications
  • Retromuscular repair
  • Ventral hernia repair
  • eTEP

ASJC Scopus subject areas

  • Surgery


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