Endoscopic totally extraperitoneal Sublay (TES) repair seems to be a promising procedure for treating ventral hernia, repairing at the preperitoneal layer may further reduce the damage to the abdominal wall. This article reports the preliminary surgical results after such procedure with xiphoid-umbilicus approach for midline upper abdomen ventral hernia.

Nine cases performed with endoscopic totally extraperitoneal procedure for preperitoneal repair of midline ventral hernias with xiphoid-umbilicus approach were included, patient demographics, hernia characteristics, operative variables and surgical results were recorded and analyzed.

All repairs were completed successfully, the operation during was (128±54)min. All patients recovered quickly and uneventfully and no case needed readmission. No severe intraoperative and postoperative complications occurred, only one case developed seroma. No surgical site infection, pain, trocar site hernia and recurrence were observed during short-term follow-up (2 to 6 months).

Endoscopic preperitoneal repair may help to reduce the damage to the abdominal wall during TES procedure. Comparing with suprapubic approach, xiphoid-umbilicus approach facilitates the preperitoneal repair for small ventral hernia of upper abdomen.