Endoscopic repair of ventral hernia and rectus diastasis

Abstract Abstract Background Umbilical and epigastric hernias are sometimes associated with rectus muscle divarication. Isolated repair of the hernia defect can have a high recurrence rate and bad cosmetic results .With this condition the repair of both pathologies is mandatory. The goal of the study is to detail some technical aspects of the endoscopic retro-rectus mesh repair. Methods We present a small series of 15 patients operated for primary or incisional ventral hernias associated with rectus diastasis. The width of the defect was under 6 cm. The performed procedure was eRives repair. Results There were no perioperative complications or short term recurrences. Conclusions In our opinion eTEP access Rives Stoppa repair is the best choice for ventral hernias associating rectus diastasis. The technique has to be promoted for its cosmetic results, reproducibility and for acquiring the principles of modern hernia surgery. Key words: umbilical hernia, diastasis recti, extended-view totally extraperitoneal, eTEP