{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T04:03:17Z","timestamp":1788408197263,"version":"build-2803163510"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["J West Afr Coll Surg"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Inguinal hernia is a common surgical condition requiring definitive repair. While totally extraperitoneal repair (TEP) is a widely used laparoscopic approach, its limitations include restricted space for dissection and a steep learning curve. The extended view totally extraperitoneal repair (eTEP) technique was developed to address these issues by providing a larger surgical field and improved port placement. This study aimed to evaluate the efficiency, benefits, limitations, surgery duration, hospital stay, and recurrence rates of eTEP, comparing its outcomes with conventional TEP in inguinal hernia repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>\n                      A randomised comparative study was conducted on 36 patients with a primary inguinal hernia at ABVIMS and Dr. RML Hospital over 2 years. Patients were divided into two groups (TEP and eTEP, with 18 in each). Variables, such as operative time, postoperative pain, hospital stay, and recurrence, were assessed. Statistical analysis included Mann\u2013Whitney,\n                      <jats:italic toggle=\"yes\">t<\/jats:italic>\n                      -tests, and chi-square tests, with a significance level of\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean operative time was 78.89\u2009min for TEP and 82.50 min for eTEP, with no statistically significant difference (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.413). One conversion to open surgery occurred in the TEP group, while none occurred in the eTEP group. There was one case of vascular injury in the TEP group, but no visceral or nerve injuries in either group. Postoperative pain scores, hospital stay duration, and recurrence rates showed no significant differences between groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>eTEP is comparable to TEP in terms of perioperative outcomes. Although eTEP takes slightly longer, it has fewer complications and a lower conversion rate. Both techniques are equally effective for laparoscopic inguinal hernia repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jwas.jwas_51_25","type":"journal-article","created":{"date-parts":[[2025,9,22]],"date-time":"2025-09-22T11:00:10Z","timestamp":1758538810000},"page":"262-267","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["A Randomised Comparison of Extended View Totally Extraperitoneal Repair (eTEP) and Conventional Totally Extraperitoneal Repair (TEP) for Inguinal Hernia"],"prefix":"10.4103","volume":"16","author":[{"given":"Abhinav","family":"Nakra","sequence":"first","affiliation":[{"name":"Department of Surgery, ABVIMS and DR. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Navneet","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and DR. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Md Abu Masud","family":"Ansari","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and DR. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lalit Kumar","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and DR. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shardool Vikram","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and DR. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atul","family":"Jain","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and DR. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neeti","family":"Kapur","sequence":"additional","affiliation":[{"name":"Department of Surgery, ABVIMS and DR. RML Hospital, New Delhi, Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"CIT0002-20260608","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s00423-004-0532-5","article-title":"Laparoscopic hernia repair \u2013 TAPP or\/and TEP?","volume":"390","author":"Leibl","year":"2005","journal-title":"Langenbecks Arch Surg"},{"key":"CIT0003-20260608","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1007\/s00464-011-1931-7","article-title":"Laparoscopic inguinal hernia repair: Transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) approach: A prospective randomized controlled trial","volume":"26","author":"Krishna","year":"2012","journal-title":"Surg Endosc"},{"key":"CIT0005-20260608","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1007\/s00464-011-1993-6","article-title":"The enhanced view-totally extraperitoneal technique for repair of inguinal hernia","volume":"26","author":"Daes","year":"2012","journal-title":"Surg Endosc"},{"key":"CIT0006-20260608","doi-asserted-by":"crossref","first-page":"35","DOI":"10.21037\/ales.2019.03.03","article-title":"Laparoscopic totally extra-peritoneal (TEP) inguinal hernia repair","volume":"4","author":"Ferzli","year":"2019","journal-title":"Ann Laparosc Endosc Surg"},{"key":"CIT0007-20260608","doi-asserted-by":"crossref","first-page":"3750","DOI":"10.1007\/s00464-015-4150-9","article-title":"TEP versus TAPP: Comparison of the perioperative outcome in 17,587 patients with a primary unilateral inguinal hernia","volume":"29","author":"K\u00f6ckerling","year":"2015","journal-title":"Surg Endosc"},{"key":"CIT0008-20260608","doi-asserted-by":"crossref","first-page":"e2023.00004","DOI":"10.4293\/JSLS.2023.00004","article-title":"A comparative evaluation of extended total extraperitoneal repair versus standard total extraperitoneal repair and transabdominal preperitoneal repair of inguinal hernias","volume":"27","author":"Srivastava","year":"2023","journal-title":"JSLS"},{"key":"CIT0009-20260608","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1007\/s10029-019-01936-6","article-title":"TEP for elective primary unilateral inguinal hernia repair in men: What do we know?","volume":"23","author":"K\u00f6ckerling","year":"2019","journal-title":"Hernia"},{"key":"CIT0010-20260608","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1089\/lap.2021.0601","article-title":"Extended view totally extraperitoneal technique and its advantages in laparoscopic inguinal hernia repair","volume":"32","author":"Kurtulus","year":"2022","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"CIT0011-20260608","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1089\/lap.2008.0212","article-title":"Massive scrotal hernias: Problems and solutions","volume":"19","author":"Misra","year":"2009","journal-title":"J Laparoendosc Adv Surg Tech A"},{"key":"CIT0012-20260608","first-page":"e39420","article-title":"Comparison of extended total extraperitoneal (E-TEP) repair and trans-abdominal pre-peritoneal (TAPP) mesh repair in inguinal hernia repair","volume":"15","author":"Nethaji","year":"2023","journal-title":"Cureus"}],"container-title":["Journal of West African College of Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_51_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:44:15Z","timestamp":1787067855000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jwas.jwas_51_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,19]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jwas.jwas_51_25","relation":{},"ISSN":["2276-6944","2992-5827"],"issn-type":[{"value":"2276-6944","type":"print"},{"value":"2992-5827","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,19]]},"assertion":[{"value":"2025-03-19","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-09","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}