V-025 ETEP-RS: EXTENDED TOTALLY EXTRAPERITONEAL RIVES-STOPPA TECHNIQUE FOR SMALL VENTRAL HERNIA

Abstract Aim The aim is to describe the laparoscopic surgical technique of eTEP with 3 trocars from upper port in a 52-year-old male patient who presented small ventral hernias Material & Methods Recently, hernia repair, Rives-Stoppa e-TEP eventroplasty (eTEP-RS) has been introduced. First, 2 subcostal incisions are made. By introducing dissector balloon through both retromuscular spaces up linea arcuata, space exposed. Great care must be taken preserve neurovascular bundles at semilunar line. A 5mm trocar placed on right flank perfom epigastric crossover maniobre by incising medial aspect rigth posterior sheath. dissection left performed. midline progressed retzius, completing Rives space. sacs dissected and reduced. Finally, rectus sheaths alba sutured 2/0 absorbable self-locking continuous barb suture mesh Results was discharged next postoperative day good pain control. To date, he does not present data recurrence. Conclusions repair abdominal wall defects via endoscopic three feasible reproducible that meets criteria ideal open surgery safe for patient. In addition, it offers advantages such as less pain, need analgesia, favors rapid recovery, added an excellent aesthetic result.