Abstract

Abstract Objectives Demonstrate the benefit of the extraperitoneal endoscopic approach for the treatment of Pfannenstiel incisional hernia (IH) associated with bilateral inguinal hernia and diastasis recti. Materials and Methods Descriptive video of the endoscopic eTEP technique for the treatment of Pfannenstiel IH (M1W5) associated with bilateral inguinal hernia (L1, L2) using two light 3D mesh placed in inguinal space without fixation and PLP mesh with silver ions placed in supra and infraumbilical space without fixation. Results The postoperative period was without complications, discharge 48 hours after surgery. The patient only required continuous analgesia for the first 72 hours. Control consultation after 3 months of surgery in which the patient is painless on physical examination, absence of recurrence and excellent aesthetic results. Conclusions The incidence of the Pfannenstiel IH is the lowest of all IHs. However, it is quite common that patients who underwent surgery with low transverse abdominal incision can develop inguinal hernias over the years. We believe that endoscopic preperitoneal eTEP Rives-Stoppa is a feasible and reproducible technique to do a complex abdominal wall reconstruction in patients diagnosed with IH associated with diastasis recti. This minimally invasive technique offers the possibility of repairing a weak linea alba and prevent the future ventral hernias with excellent aesthetic results.