Bo Zhuang, Yu Zhou, Shian Yu, Yaoqi Zhang, Gang Li
{"title":"全脏器囊分离术（TVS）与全腹膜外扩视野术（e-TEP）治疗脐疝和腹壁疝的回顾性比较研究。","authors":"Bo Zhuang, Yu Zhou, Shian Yu, Yaoqi Zhang, Gang Li","doi":"10.1007/s10029-025-03370-3","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Totally visceral sac separation (TVS) is a novel concept proposed for hernia repair, preserving the integrity of the posterior rectus sheath (PRS). The aim of this study was to compare the results of TVS with the extended view totally extraperitoneal (e-TEP) method for umbilical and epigastric hernias.</p><p><strong>Methods: </strong>A retrospective comparison analysis was conducted including 45 e-TEP and 43 TVS procedures performed between June 2021 and June 2024. Baseline characteristics, surgical records, and postoperative information were collected and analyzed for both groups from the electronic medical records system.</p><p><strong>Results: </strong>The baseline characteristics showed no significant differences. The TVS group had a significantly longer mean operative time (230 (36) minutes vs. 190 (84) minutes, P<0.01) and used a smaller mesh area (120 (10) cm² vs. 130 (20) cm², P<0.01). No significant differences were observed between the two groups in terms of quality of life scores, postoperative length of stay, and medical expenses. One patient in the e-TEP group experienced surgical site and mesh infection, requiring mesh removal and resulting in hernia recurrence.</p><p><strong>Conclusion: </strong>Despite its complexity and longer operative time, the TVS approach offers potential advantages in long-term outcomes and complication management for umbilical and epigastric hernias. These findings contribute to the understanding and potential adoption of the TVS technique in hernia repair.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"29 1","pages":"176"},"PeriodicalIF":2.6000,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison of totally visceral sac separation (TVS) and extended view totally extraperitoneal (e-TEP) repair for umbilical and epigastric hernias: a retrospective study.\",\"authors\":\"Bo Zhuang, Yu Zhou, Shian Yu, Yaoqi Zhang, Gang Li\",\"doi\":\"10.1007/s10029-025-03370-3\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Totally visceral sac separation (TVS) is a novel concept proposed for hernia repair, preserving the integrity of the posterior rectus sheath (PRS). The aim of this study was to compare the results of TVS with the extended view totally extraperitoneal (e-TEP) method for umbilical and epigastric hernias.</p><p><strong>Methods: </strong>A retrospective comparison analysis was conducted including 45 e-TEP and 43 TVS procedures performed between June 2021 and June 2024. Baseline characteristics, surgical records, and postoperative information were collected and analyzed for both groups from the electronic medical records system.</p><p><strong>Results: </strong>The baseline characteristics showed no significant differences. The TVS group had a significantly longer mean operative time (230 (36) minutes vs. 190 (84) minutes, P<0.01) and used a smaller mesh area (120 (10) cm² vs. 130 (20) cm², P<0.01). No significant differences were observed between the two groups in terms of quality of life scores, postoperative length of stay, and medical expenses. One patient in the e-TEP group experienced surgical site and mesh infection, requiring mesh removal and resulting in hernia recurrence.</p><p><strong>Conclusion: </strong>Despite its complexity and longer operative time, the TVS approach offers potential advantages in long-term outcomes and complication management for umbilical and epigastric hernias. These findings contribute to the understanding and potential adoption of the TVS technique in hernia repair.</p>\",\"PeriodicalId\":13168,\"journal\":{\"name\":\"Hernia\",\"volume\":\"29 1\",\"pages\":\"176\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-05-23\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hernia\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s10029-025-03370-3\",\"RegionNum\":2,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-025-03370-3","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
Comparison of totally visceral sac separation (TVS) and extended view totally extraperitoneal (e-TEP) repair for umbilical and epigastric hernias: a retrospective study.
Purpose: Totally visceral sac separation (TVS) is a novel concept proposed for hernia repair, preserving the integrity of the posterior rectus sheath (PRS). The aim of this study was to compare the results of TVS with the extended view totally extraperitoneal (e-TEP) method for umbilical and epigastric hernias.
Methods: A retrospective comparison analysis was conducted including 45 e-TEP and 43 TVS procedures performed between June 2021 and June 2024. Baseline characteristics, surgical records, and postoperative information were collected and analyzed for both groups from the electronic medical records system.
Results: The baseline characteristics showed no significant differences. The TVS group had a significantly longer mean operative time (230 (36) minutes vs. 190 (84) minutes, P<0.01) and used a smaller mesh area (120 (10) cm² vs. 130 (20) cm², P<0.01). No significant differences were observed between the two groups in terms of quality of life scores, postoperative length of stay, and medical expenses. One patient in the e-TEP group experienced surgical site and mesh infection, requiring mesh removal and resulting in hernia recurrence.
Conclusion: Despite its complexity and longer operative time, the TVS approach offers potential advantages in long-term outcomes and complication management for umbilical and epigastric hernias. These findings contribute to the understanding and potential adoption of the TVS technique in hernia repair.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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