OUTCOMES OF LAPAROSCOPIC EXTENDED VIEW TOTALLY EXTRAPERITONEAL REPAIR FOR UMBILICAL HERNIA
Main Article Content
Abstract
Background: Umbilical hernias negatively affect patients' quality of life. In adults, treatment is necessary due to the high risk of complications. Other surgical techniques have certain limitations, including high costs and increased complication rates. This study aims to evaluate the outcomes, safety and effectiveness of laparoscopic retro-rectus mesh placement for umbilical hernia repair. Objectives: To assess the outcomes of umbilical hernia repair using laparoscopic retro-rectus mesh placement at Can Tho General Hospital. Materials and methods: A clinical interventional study was conducted without a control group, included 43 patients diagnosed with umbilical hernias from March 2022 to March 2025. Results: The study included 27 female and 16 male patients, with a mean age of 57.23 ± 10.18 years. The average hernia defect size measured intraoperatively was 27.81 ± 10.24 (mm). The mean operative time was 108.60 ± 22.10 (minutes), and the average length of hospital stay post-surgery was 4.63 ± 1.04 (days). No cases of recurrence were recorded. Conclusion: Laparoscopic retro-rectus mesh placement is a safe, effective, and viable approach for umbilical hernia repair.
Keywords
Umbilical hernia, Laparoscopic surgery, Synthetic mesh, Retro -rectus
Article Details

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
References
2. Saniya A., Manikanta K.S. and Hassan M.M.N. A study of clinical profile and outcome of open mesh repair vs laparoscopic mesh repair of umbilical hernia in public sector hospital. World J Laparosc Surg. 2022. 15(1), 35-39, doi: 10.5005/jp-journals-10033-1501.
3. Prakash S., Joshi S.S. and SL A.K. Study of Surgical Methods of Umbilical Hernia Repair in the Rural District of Chickballapur. International Journal of Pharmacy Research & Technology (IJPRT). 2025. 15(1), 5-13, doi: 10S.31838/ijprt/15.01.02.
4. Henriksen N.A., Bougard H., Gonçalves M.R., Hope W., Khare R., et al. Primary ventral and incisional hernias: comprehensive review. BJS open. 2025. 9(1), 145, doi: 10.1093/bjsopen/zrae145.
5. Al-Mulhim A.S. and Memon A.Q. Laparoscopic Umbilical Hernia repair in male patients with abdominal obesity. Pakistan Journal of Medical Sciences. 2022. 38(7), 1776, doi: 10.12669/pjms.38.7.6470.
6. Basukala S., Tamang A., Rawal S.B., Malla S., Bhusal U., et al. Comparison of outcomes of laparoscopic hernioplasty with and without fascial repair (IPOM-Plus vs IPOM) for ventral hernia: A retrospective cohort study. Annals of Medicine and Surgery. 2022. 80, 104297, doi: 10.1016/j.amsu.2022.104297.
7. Wieland L., Alfarawan F., Bockhorn M. and El-Sourani N. Comparison of eTEP and IPOM for ventral hernia surgery in the early postoperative period: a retrospective cohort study of a tertiary university centre. Hernia. 2024. 28(6), 2195-2206, doi: 10.1007/s10029-024-03125-6.
8. Quezada N., Grimoldi M., Besser N., Jacubovsky I., Achurra P., et al. Enhanced-view totally extraperitoneal (eTEP) approach for the treatment of abdominal wall hernias: mid-term results. Surgical Endoscopy. 2022. 1-8, doi: 10.1007/s00464-021-08330-3.
9. Rayman S., Molham M., Orgad R., Gelman H., Gorgov E., et al. A retrospective cohort study of laparoscopic enhanced view totally extra-peritoneal Rives-Stoppa (eTEP-RS) repair of incisional ventral hernias in patients with morbid obesity. Surgical Endoscopy. 2025. 1-9, doi: 10.1007/s00464-025-11565-z
10. Kumar N., Jaiswal P., Sinha N., Pankaj D., Bhushan V., et al. Novel technique of laparoscopic e-TEP (Extended View totally extraperitoneal repair) for umbilical hernia at a Tertiary Care Centre of Eastern India: a Case Series. Maedica. 2022. 17(2), 329, doi: 10.26574/maedica.2022.17.2.329.
11. Pini R., Mongelli F., Iaquinandi F., Gaffuri P., Previsdomini M., et al. Switching from roboticassisted extended transabdominal preperitoneal (eTAPP) to totally extraperitoneal (eTEP) hernia repair for umbilical and epigastric hernias. Scientific Reports. 2024. 14(1), 1800, doi: 10.1038/s41598-024-52165-6.
12. Frey S., Jurczak F., Fromont G., Dabrowski A., Soler M., et al. Are the relative benefits of open versus laparoscopic intraperitoneal mesh repair of umbilical hernias dependent on the diameter of the defect?. Surgery. 2022. 171(2), 419-427, doi: 10.1016/j.surg.2021.08.003.