A prospective randomized comparison of sexual function and semen analysis following laparoscopic totally extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) inguinal hernia repair

Krishna, Asuri; Mohammad, Aamir; Prajapati, Om Prakash; Sagar, Rajesh; Kumar, Atin; Sharma, Mona; Chaturvedi, P. K.; Gupta, Satish Chand; Rai, Sanjeet Kumar; Misra, Mahesh Chandra; Bansal, Virinder Kumar

doi:10.1007/s00464-020-07733-y

Cited by 8 publications

(5 citation statements)

References 16 publications

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“…A prospective randomised study of sexual function and semen analysis following TEP and TAPP inguinal hernia repair showed that both methods are comparable in terms of sexual function and effect on semen analysis. Antisperm antibody levels were insignificant both preoperatively and 3 months postoperatively in the study population and there was no significant difference between the two methods [46]. Based on the study by Gupta et al, most of the parameters of semen analysis improved significantly from preoperative to post-TEP or post-TAPP period.…”

Section: Laparoscopic Totally Extra Peritoneal (Tep) Versus Transabdo...mentioning

confidence: 68%

Male Fertility Following Inguinal Hernia Repair

Balawender¹,

Pliszka²

2023

Hernia Updates and Approaches

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Tension-free mesh hernia repair has become the standard procedure in inguinal hernia repair. The incidence of inguinal hernias has steadily decreased following mesh and laparoscopic techniques, but the potential risk of fertility disorders after surgery remains a controversial issue. The aim of this chapter was to establish the clinical impact of open (mesh and/or without mesh) and laparoscopic hernia repair on male fertility. The results of the research published to date do not allow clear conclusions and guidelines in hernia surgery for young patients of reproductive age. Evidence is inevitably difficult to find because of the wide range of causes of infertility and their complexity. However, the choice of method and the possible impact on fertility should be discussed with the patient before surgery. Additionally, preoperative and postoperative semen analysis will help exclude or confirm its impact on patient fertility in the future.

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Section: Laparoscopic Totally Extra Peritoneal (Tep) Versus Transabdo...mentioning

confidence: 68%

Male Fertility Following Inguinal Hernia Repair

Balawender¹,

Pliszka²

2023

Hernia Updates and Approaches

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“…In TAPP procedures 21 , inguinal hernia repair with glue fixation significantly decreased the frequency and intensity of the pain when compared with the pain before the surgery, showing the benefits of hernia correction for pain management. Asuri et al 22,23 showed that TEP was superior than TAPP with reduced postoperative pain up to 3 months reported by patients, but no difference in overall mortality or complications. Moreover, surgical fixation in TEP procedures has been shown not significant for postoperative pain 24 .…”

Section: Discussionmentioning

confidence: 99%

Treating incarcerated inguinal hernias with TEP is a viable option for experienced surgeons

Medeiros

Carvalho

Pipek

et al. 2020

Sci Rep

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Despite inguinal hernias being a common problem in public health, there is still scarce information about the epidemiology of the complications, especially incarceration, and their influence on the laparoscopic surgical methods considering the role of the learning process of the surgeon. Compare laparoscopic totally extraperitoneal (TEP) approach in the repair of incarcerated and non-incarcerated inguinal hernias from the perspective of technical difficulty for trained surgeons. We obtained data about sex, age, location and type of hernia, surgery duration, ASA score, postoperative complications, previous surgeries and BMI. Groups were descriptively analyzed and statistically compared to verify how similar the samples were. 265 (90.1%) patients had non-incarcerated hernias and 29 (9.9%) incarcerated. We observed that there was no significant difference in the pattern of location (right, left or bilateral), sex, ASA, previous or complications between the two groups. Unilateral incarcerated hernias had longer operative times compared to non-incarcerated. No difference was found between bilateral hernias. We didn´t find significant epidemiological differences between incarcerated and non-incarcerated hernias. In our experience, with the limitation of a single-surgeon series, laparoscopic hernia repair achieved satisfactory results in terms of feasibility (especially for bilateral hernias) and safety.

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“…Previous studies have shown that CL-TAPP hernia surgery is associated with less discomfort and pain in the inguinal area, both during the postoperative period and after discharge, than that resulting from open hernia repair. [29][30][31][32] However, McCormack et al 33 observed that a notable proportion of patients (13.5%) experienced persistent pain after conventional laparoscopic TAPP surgery, indicating the presence of a major long-term complication.…”

Section: Discussionmentioning

confidence: 99%

Comparison of modified tumescent and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective clinical study

Hu,

Zhang,

Wang

et al. 2024

J Int Med Res

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Objective Laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair poses certain challenges to less experienced surgeons. This study was performed to compare the clinical outcomes of modified tumescent laparoscopic TAPP (MT-TAPP) inguinal hernia repair versus conventional laparoscopic TAPP (CL-TAPP) inguinal hernia repair. Methods We retrospectively analyzed the perioperative data of patients with inguinal hernias who underwent either MT-TAPP repair (n = 57) or CL-TAPP repair (n = 54) at the General Surgery Department of Nanjing Yimin Hospital from November 2019 to June 2023. Results The durations of the total operation and the preperitoneal space dissection were shorter in the MT-TAPP than CL-TAPP group. The estimated blood loss volume was lower in the MT-TAPP than CL-TAPP group. The visual analogue scale scores recorded at the 12- and 24-hour postoperative time points showed significantly greater reductions in the MT-TAPP than CL-TAPP group. Conclusions Using liquid injection and gauze dissection is both safe and practical. This technique results in a shortened total operation time, less time spent on preperitoneal space dissection, decreased estimated blood loss, and less severe postoperative pain.

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A prospective randomized comparison of sexual function and semen analysis following laparoscopic totally extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) inguinal hernia repair

Cited by 8 publications

References 16 publications

Male Fertility Following Inguinal Hernia Repair

Male Fertility Following Inguinal Hernia Repair

Treating incarcerated inguinal hernias with TEP is a viable option for experienced surgeons

Comparison of modified tumescent and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective clinical study

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