{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:35:05Z","timestamp":1753893305302,"version":"3.41.2"},"reference-count":8,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T00:00:00Z","timestamp":1686182400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>Total extraperitoneal prosthesis (TEP) is one of the most commonly used laparoscopic inguinal hernia repair procedures. This work aims to report the application of membrane anatomy to TEP and its value in intraoperative space expansion.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The clinical data of 105 patients, from January 2018 to May 2020, with inguinal hernia who were treated with TEP (58 patients in the General Department of the Second Hospital of Sanming City, Fujian Province, and 47 patients in the General Department of the Zhongshan Hospital Affiliated to Xiamen University) were retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All surgeries were successfully completed under the guidance of the concept of preperitoneal membrane anatomy. The operation time was 27.5\u2009\u00b1\u20099.0\u2005min, blood loss was 5.2\u2009\u00b1\u20090.8\u2005ml, and the peritoneum was damaged in six cases. The postoperative hospital stay was 1.5\u2009\u00b1\u20090.6 days, and five cases of postoperative seroma occurred, all self-absorbed. During the follow-up period of 7\u201359 months, there was no case of chronic pain and recurrence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The membrane anatomy at the correct level is the premise of a bloodless operation to expand the space while protecting adjacent tissues and organs to avoid complications.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2023.1119788","type":"journal-article","created":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T05:23:30Z","timestamp":1686201810000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Using the concept of preperitoneal membrane anatomy in total extraperitoneal prosthesis: a preliminary report"],"prefix":"10.3389","volume":"10","author":[{"given":"Suqiong","family":"Lin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anran","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huabin","family":"Zheng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jinbo","family":"Fu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Penghao","family":"Kuang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaoquan","family":"Hong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rongliang","family":"Qiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yilong","family":"Fu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2023,6,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"6558","DOI":"10.1007\/s00464-022-09046-8","article-title":"Prospective, randomized clinical trial of laparoscopic totally extraperitoneal inguinal hernia repair using conventional versus custom- made (mosquito) mesh performed in Cameroon: a short-term outcomes","volume":"36","author":"Essola","year":"2022","journal-title":"Surg Endosc"},{"key":"B2","doi-asserted-by":"publisher","first-page":"140","DOI":"10.1007\/s00464-001-8298-0","article-title":"Learning curve for unilateral endoscopic totally extraperitoneal (TEP) inguinal hernioplasty in a teaching hospital","volume":"25","author":"Agca","year":"2018","journal-title":"Laparosc Endosc Surg Sci"},{"first-page":"2","volume-title":"Graphic Surgery: The Key Points of Surgical Procedure from the Anatomy of Membrane","year":"2013","key":"B3"},{"key":"B4","doi-asserted-by":"publisher","first-page":"401","DOI":"10.3760\/cma.j.issn.1671-0274.2019.05.001","article-title":"Rise and mix of membrane anatomy","volume":"22","author":"Gong","year":"2019","journal-title":"Chin J Gastrointest Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"629","DOI":"10.3760\/cma.j.cn.441530-20200507-00260","article-title":"Rise and mix of membrane anatomy","volume":"23","author":"Gong","year":"2020","journal-title":"Chin J Gastrointest Surg"},{"key":"B6","doi-asserted-by":"publisher","first-page":"604","DOI":"10.3760\/cma.j.cn.441530-20210509-00198","article-title":"Application of membrane anatomy theory in totally extraperitoneal inguinal hernia repair","volume":"24","author":"Li","year":"2021","journal-title":"Chin J Gastrointest Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"225","DOI":"10.3760\/cma.j.issn.1001-9030.2015.02.003","article-title":"Surgical membrane anatomy: a new basis for surgery?","volume":"32","author":"Gong","year":"2015","journal-title":"Chin J Exp Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1007\/s10029-018-1746-8","article-title":"Paradigm shift regarding the transversalis fascia, preperitoneal space, and Retzius\u2019 space","volume":"22","author":"Asakage","year":"2018","journal-title":"Hernia"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2023.1119788\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,6,8]],"date-time":"2023-06-08T05:23:39Z","timestamp":1686201819000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2023.1119788\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,8]]},"references-count":8,"alternative-id":["10.3389\/fsurg.2023.1119788"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2023.1119788","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2023,6,8]]},"article-number":"1119788"}}