This new concept was described by Dr. Jorge Daes, a Colombian surgeon, in 2009. The idea of this novel innovation came from the difficulties faced when operating with the classic TEP approach, which offers a reduced surgical field with poor tolerance to accidental peritoneum disruption. The inadvertent pneumoperitoneum collapses the workspace thus making the procedure more challenging. Furthermore, with classic TEP, there was a poor ergonomic position, which did not allow variations in the location of the working ports, and in patients of short stature or with a short distance from the umbilicus to the pubis, the difficulty of the TEP technique was also increased. The new concept developed by Professor Daes was named e-TEP, the "e" preceding the acronym TEP meaning extended view or enhanced view. This technique shares the same basis as TEP, in which entrance to the peritoneal cavity is avoided. The main difference lies in the positioning of the camera port, which is located in a more cephalad position and lateral to the midline. This modification provides a larger workspace, a more flexible location of the working ports therefore facilitating the performance of various surgical maneuvers.