To Evaluate the Safety and Efficacy of the ETEP Technique in Treating Inguinal Hernias
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Abstract
Background: Inguinal hernia (IH) refers to the abdominal void protrusion via the inguinal canal. Tension-free hernioplasty (OTFH) is the standard procedure for effective treatment. Laparoscopic totally extraperitoneal prosthesis (TEP) is a novel procedure obviates the need for the opening of the patient's abdominal cavity and allows for a direct operation on the patient's anterior peritoneal space with benefits less pain, faster recovery, and a lower risk of complications. Methods: Prospective study conducted at Department of General Surgery, Government Medical College, to evaluate the safety and efficacy of the ETEP technique in treating inguinal hernias from 1stAugust 2023-31stJuly2024 with sample size of 50 subjects. Results: Primary and incisional hernia was revealed in 56% and 44% of the subjects respectively. Most of the subjects had unilateral hernia (92%). Mean operative time was 121.48±18.97minutes. Mean VAS was 4.8 after 12 hrs of surgery. Mean hospital stay after surgery was 1.2±0.4days. Mean duration to return back to work after surgery was 9.5days. No complication was reported among the study subjects. Conclusion: e-TEP technique is striking among all surgical approaches for laparoscopic hernia repair. eTEP approach gives a wide area to negotiate around and conclude the procedure, thus taking out the shortcomings of TEP/TAPP in inguinal hernias.
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Copyright (c) 2025 Ayushi Bhushan, Mohit Kumar, Abhimanyu Singh Manhas, Gurbir Singh

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Ayushi Bhushan, Senior Resident, Department of General Surgery, Government Medical College, Jammu and Kashmir, India.
Senior Resident, Department of General Surgery, Government Medical College, Jammu and Kashmir, India.
Mohit Kumar, Senior Resident, Department of General Surgery, Government Medical College, Jammu and Kashmir, India.
Senior Resident, Department of General Surgery, Government Medical College, Jammu and Kashmir, India.
Abhimanyu Singh Manhas, Senior Resident, Department of General Surgery, Government Medical College, Jammu and Kashmir, India.
Senior Resident, Department of General Surgery, Government Medical College, Jammu and Kashmir, India.
Gurbir Singh, Assistant Professor, Department of General Surgery, SMVDIME Kakryal, Jammu and Kashmir, India.
Assistant Professor, Department of General Surgery, SMVDIME Kakryal, Jammu and Kashmir, India.
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