A prospective comparative study of needlescopic and conventional endoscopic extraperitoneal inguinal hernioplasty

Abstract

Needlescopic TEP is a safe technique for the repair of inguinal hernia. Postoperative recovery following needlescopic and conventional TEPs was similar. Needlescopic TEP conferred a significantly lower pain score upon coughing on the first day after operation.

Pain characteristics after laparoscopic inguinal hernia repair

“…The study concluded that there was a significantly lower frequency of patients (2 out of 16) in the 3-mm group who needed analgesics postoperatively during hospital stay compared with a higher frequency (17 out of 24 patients) in the latter group [15]. Another study of patients prospectively undergoing total extraperitoneal inguinal hernia repair (TEP) (n = 30) with small instruments (2 9 2 and 1 9 10 mm trocars) (n = 30), compared with an agematched cohort who underwent conventional TEP (2 9 5 and 1 9 12 mm trocars), found that pain was significantly lower in the 2-mm group on day 1 after TEP [16]. However, it should be noted that these studies were non-randomised, non-blinded or poorly blinded, and it is not transparent in any of the two mentioned studies how the patients in the small-instrument groups were selected.…”

Acute pain after endoscopic totally extraperitoneal (TEP) inguinal hernioplasty: multivariate analysis of predictive factors

“…Univariate and multivariate analyses were performed to identify the independent factors affecting the degree of pain. [7,8]. Prior to February 2001, a Prolene mesh measuring 10 · 14 cm 2 was routinely anchored in place with an endo-stapler (Multifire Endo Hernia 0°, US Surgical Corporation, Norwalk, CT, USA).…”

Is Minilaparoscopic Inguinal Hernia Repair Feasible? A Preliminary Experience

“…As a consequence, there is an evergrowing demand from the public. 2,3,10,12 In our experience, almost 2/3 of patients with a unilateral hernia requested a miniTAPP procedure. Some authors experienced a decreased postoperative analgesic requirement in patients approached with minilaparoscopy, while others report different results but no significant drawbacks concerning hospital stay and return to work.9,12 In our experience it is difficult to evaluate the impact of mini-skin incision in terms of postoperative pain, since less than 10% of our patients required analgesic therapy.…”