Correction: Hybrid approach for ventral hernia associated with rectus diastasis: endoscopic single-port diastasis plication with open preperitoneal hernia repair. ENDOP technique in 10 steps - Report - MDSpire
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Revised: A Combined Technique for Managing Ventral Hernia with Rectus Diastasis: Endoscopic Single-Port Diastasis Plication Accompanied by Open Preperitoneal Hernia Repair - The ENDOP Method Explained in 10 Steps

  • By

  • G. Bosch-Silvela

  • A. Bravo-Salva

  • M. Juvany-Gómez

  • M. Pérez-Guitart

  • A. Martínez-Solà

  • M. Jiménez-Gómez

  • L. Lorente-Poch

  • J. A. Pereira-Rodríguez

  • September 21, 2026

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Clinical Report: A Combined Technique for Managing Ventral Hernia with Rectus Diastasis

Overview

The ENDOP method combines endoscopic single-port diastasis plication with open preperitoneal hernia repair. This approach aligns with current European Hernia Society guidelines on mesh use and repair techniques.

Background

Ventral hernia surgery is common, yet recurrence rates can be significant when associated diastasis recti is untreated. Diastasis recti, characterized by the abnormal separation of rectus abdominis muscles, can affect both aesthetic and functional outcomes. Understanding effective surgical techniques is crucial for improving patient outcomes in this context.

Data Highlights

No specific numerical data or trial results were provided in the source material.

Key Findings

  • The ENDOP method integrates linea alba plication with preperitoneal mesh placement.
  • Diastasis recti is defined as a separation of the rectus abdominis muscles exceeding 2 cm.
  • Current guidelines suggest mesh-based repair for midline hernias when associated with rectus diastasis.
  • Minimally invasive techniques have improved cosmetic outcomes and reduced chronic pain risks.
  • Recent studies indicate lower postoperative pain with eTEP-Rives-Stoppa repair compared to IPOM-plus.

Clinical Implications

Surgeons should consider the ENDOP technique for patients with ventral hernias and rectus diastasis, as it adheres to established guidelines.

Conclusion

The ENDOP method represents a significant advancement in the surgical management of ventral hernias associated with rectus diastasis, aligning with contemporary guidelines and addressing key clinical challenges.

Related Resources & Content

  1. Surgical Endoscopy, 2026 -- Hybrid approach for ventral hernia associated with rectus diastasis: endoscopic single-port diastasis plication with open preperitoneal hernia repair. ENDOP technique in 10 steps
  2. Updates in Surgery, 2026 -- Laparoscopic Subcutaneous Onlay Technique for Ventral Hernia Repair in Patients with Diastasis Recti: Insights from a Single-Center Study
  3. Hernia, 2024 -- Systematic Review of Laparoendoscopic Techniques for Repairing Ventral Hernias and Diastasis Recti
  4. European Hernia Society guidelines on management of rectus diastasis | BJS | Oxford Academic
  5. Hernia — Lateral single-port laparoscopic repair of primary ventral hernias via the plane posterior to the posterior rectus sheath
  6. Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society
  7. EHS Guidelines on the Management of Primary Ventral and Incisional Hernias Under Emergency Conditions
  8. European Hernia Society guidelines on management of rectus diastasis | BJS | Oxford Academic
  9. Comparison of laparoscopic intraperitoneal onlay mesh (IPOM Plus) and extended totally extraperitoneal (eTEP RS) repair for incisional hernia - a randomized clinical trial - PubMed
  10. [Endoscopic totally extraperitoneal (eTEP) versus intraperitoneal onlay mesh (IPOM) repair for ventral hernias: a systematic review and meta-analysis] - PubMed
  11. Subcutaneous onlay laparoscopic approach or preaponeurotic endoscopic repair for laparoendoscopic treatment of rectus abdominis diastasis and concomitant ventral hernia | European Surgery | Springer Nature Link
  12. Hybrid approach for ventral hernia associated with rectus diastasis: endoscopic single-port diastasis plication with open preperitoneal hernia repair. ENDOP technique in 10 steps | Surgical Endoscopy | Springer Nature Link

Original Source(s)

Correction: Hybrid approach for ventral hernia associated with rectus diastasis: endoscopic single-port diastasis plication with open preperitoneal hernia repair. ENDOP technique in 10 steps

  • by G. Bosch-Silvela, A. Bravo-Salva, M. Juvany-Gómez, M. Pérez-Guitart, A. Martínez-Solà, M. Jiménez-Gómez, L. Lorente-Poch, J. A. Pereira-Rodríguez

  • September 21, 2026

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