A randomized controlled trial comparing laparoscopic extended view totally extraperitoneal (eTEP) repair with totally extraperitoneal (TEP) repair for primary inguinal hernia

作者：Lal P, Shirodkar A, Shandelya S, Vindal A, Singh R, Lal T · 发表于：Surgical endoscopy · 年份：2026 · DOI：10.1007/s00464-026-13213-6 · 研究领域：Extended view totally extraperitoneal repair、Inguinal hernia、TEP、Totally extraperitoneal repair、eTEP

BACKGROUND: Totally extraperitoneal (TEP) repair has been commonly practiced for over 30 years to manage inguinal hernias. Extended view totally extraperitoneal repair (eTEP) is a newer procedure reported to provide larger extraperitoneal space particularly in patients with shorter body habitus. Data evaluating laparoscopic eTEP and TEP is limited in literature. This study was conducted to compare these procedures in patients with primary inguinal hernia. MATERIALS AND METHODS: Fifty-one patients were randomized into two groups (eTEP = 26 and TEP = 25). Operative time was used as primary endpoint. Complications, postoperative pain, hospital stay, return to activities of daily living, and return to work were secondary endpoints. All patients were followed up for 12 months for recurrence and complications. RESULTS: Mean operative time in eTEP (51.56 ± 5.14 min) was significantly lower than TEP (57.48 ± 5.54 min) (p < 0.000). Operative time in cases with accidental pneumoperitoneum was significantly shorter in 3/26 cases of eTEP as compared to 5/25 cases of TEP (p = 0.045). Mean pain scores in eTEP group were significantly lower in comparison with TEP at 6 and 12 h postoperatively (p = 0.032 and 0.034, respectively). Return to activities of daily living and return to work were significantly earlier in eTEP (p = 0.002 and 0.003, respectively). No recurrence was seen in either group at 12 months. CONCLUSION: Operative time was significantly less in eTEP patients, indicating tha...