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CHARACTERISTICS OF VENTRAL HERNIA TREATED BY ENDOSCOPIC EXTENDED-VIEW TOTALLY EXTRAPERITONEAL RETROMUSCULAR MESH REPAIR
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Abstract
Objective: Evaluating clinical characteristics and CT scan findings in patients with ventral hernias is crucial prior to treatment with endoscopic extended-view totally extraperitoneal (eTEP) retromuscular mesh repair. Materials and Methods: This prospective, descriptive uncontrolled clinical trial study was conducted on n=85 patients with anterior ventral hernias at Can Tho City General Hospital from May 2023 to August 2025. Results: 46 (54.1%) primary and 39 (45.9%) incisional hernias. The mean age was 57.89 years. Females accounted for 65.9%. The mean BMI was 24.58 kg/m2. Overweight - obesity group accounted for 58.8%. Midline hernias accounted for 88.2% of cases. Incisional hernias had significantly greater size compared to primary hernias (p<0.001). CT scans correctly diagnosed the location and number of hernia defects in 100% of cases; however, the defect size measured on CT scans was smaller than the actual intraoperative size (p<0.001). Conclusion: Ventral hernia patients treated with eTEP predominantly presented with midline defects, comprising medium-sized primary hernias and small incisional hernias. Intraoperative measurements of the hernia defect tended to be larger than those recorded on preoperative CT scans.
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Keywords
ventral hernia, incisional hernia, eTEP.
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