Bilateral inguinal hernia repair: laparoscopic or open approach?

Feliu, Xavier; Clavería, R Cristián; Besora, Pere; Camps, Josep; Fernández-Sallent, Enrique; Viñas, Xavier; Abad, Josep Maria Haro

doi:10.1007/s10029-010-0736-2

Cited by 74 publications

(46 citation statements)

References 25 publications

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“…In case of recurrent hernia, there were fewer adhesions than expected in the procedure. If patient demand laparoscopic surgery for primary unilateral hernia expecting quick recovery and return to work, as advised by National Institute of Clinical Excellence (NICE), TEP is a better choice [7][8][9] .…”

Section: Resultsmentioning

confidence: 99%

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Laparoscopic totally extra peritoneal (TEP) inguinal hernia repair: A series of 47 cases

Shrestha

2017

J. Kathmandu Med. Coll.

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Background: Over the past years, several surgical techniques have been evolved, among which total extraperitoneal inguinal hernia repair is the laparoscopic technique which is more popular now. Objective: To evaluate the outcome of totally extra peritoneal laparoscopic hernioplasty in terms of operation time, hospital stay and complications. Methods: The prospectively designed descriptive study was carried out at Department of Surgery Unit III, Kathmandu Medical College Teaching Hospital from February 2014 to April 2015. Forty seven consecutive patients above 15 years of age underwent totally extra peritoneal repairs for inguinal hernias. The selection criteria were reducible primary or recurrent, unilateral, direct and indirect inguinal hernias. All the relevant details of each patient were noted subsequently and analyzed statistically using Statistical Program for Social Sciences (SPSS) version 15. Results: The mean age of patient was 49±2.5 years. The mean operation time was 65±5.3 minutes. There were no serious complications except four (8.5%) cases of groin seroma which resolved after single time aspiration. Three (6.3%) cases had developed recurrence, two (4.2%) had developed hydrocele in a median follow up period of 6±1.5 (range, 3-9months). The mean inpatient hospital stay was 1.7±0.2 (range, 1-2.4days). Conclusion: Total extra peritoneal hernioplasty is safe and feasible with acceptable complications and recurrence rates.

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Section: Resultsmentioning

confidence: 99%

“…Cases of hernias with patent processus vaginalis in boys aged 16, were treated by herniotomy at deep ring by z-suture alone in other studies. However, we performed it by formal TEP and mesh fi xation¹ [3][4][5][6][7][8][9][10][11][12][13][14][15][16] .…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic totally extra peritoneal (TEP) inguinal hernia repair: A series of 47 cases

Shrestha

2017

J. Kathmandu Med. Coll.

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“…[31][32][33] Laparoscopic technique also allows for both sides of the groin to be inspected/repaired without the need for additional ports or incisions, 34 and may be associated with fewer complications than performing the open procedure bilaterally. 6 Limitations of laparoscopic techniques have also been described. Laparoscopic inguinal herniorrhaphy, particularly with the TEP technique, has a longer learning curve than open repair and may initially require longer operative time, 9 although operating time decreases with surgeons' experience.…”

Section: Discussionmentioning

confidence: 99%

Placement of a Non–Cross-Linked Porcine-Derived Acellular Dermal Matrix During Preperitoneal Laparoscopic Inguinal Hernia Repair

Alshkaki

2013

International Surgery

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This retrospective chart review evaluated outcomes following laparoscopic inguinal herniorrhaphies with non-cross-linked intact porcine-derived acellular dermal matrix (PADM) by one surgeon in a community teaching facility hospital. Mesh was sutured and/or tacked in the preperitoneal space. Postoperative visits were scheduled at 2 weeks, 3 months, and 6 months, and then at 6-month intervals up to 2 years. PADM was placed in 14 male patients (mean age, 41.1 years). Seven patients had bilateral hernias. One patient required intraoperative conversion to open herniorrhaphy based on diagnostic laparoscopy findings. PADM sizes were 6 3 10 to 12 3 16 cm; mean operative time was 102 minutes. All patients were discharged on the day of surgery and resumed full activity. This treatment approach was effective, with no recurrence or complications during a median follow-up period of 18 months (range, 13-25 months). Synthetic mesh is often used in conjunction with both open and laparoscopic inguinal herniorrhaphy and has been shown to significantly reduce the risk of hernia recurrence compared with primary repair without mesh.9 However, synthetic mesh has been associated with postoperative complications such as infection, which can occur during the acute or longterm postsurgical period, [13][14][15] and longer-term complications such as chronic pain, fistula formation, and extrusion. [16][17][18][19] Infection following synthetic mesh insertion 19,20 often leads to explantation of the mesh, which may result in increased patient morbidity and use of health care resources. 20,21 Biologic matrices support tissue revascularization and are thought to resist infection better than synthetic meshes.13 Several biologic alternatives to synthetic mesh have been developed, including a non-cross-linked intact porcine-derived acellular dermal matrix (PADM; Strattice Reconstructive Tissue Matrix, LifeCell Corporation, Branchburg, New Jersey). The structure of PADM is strong and biocompatible, and it allows for cellular infiltration, vascularization, and tissue remodeling. 22 Clinical studies have shown the utility of PADM in several surgical procedures, including chest wall reconstruction, 23 breast reconstruction surgery, 24 and ventral herniorrhaphy. 25 To date, limited data have been reported about biologic matrix use in laparoscopic inguinal herniorrhaphy. [26][27][28] To the author's knowledge, results from studies assessing the use of PADM in laparoscopic inguinal hernia repair have not been previously reported. This retrospective chart review evaluated the results of laparoscopic inguinal herniorrhaphy in 14 patients using a totally extraperitoneal (TEP) approach with placement of PADM. Postoperative recurrence and complication rates associated with this procedure were evaluated for a median follow-up period of 18 months (range, 13-25 months). Patients and MethodsA retrospective chart review was conducted to identify patients who underwent elective laparoscopic inguinal herniorrhaphy with use of PADM performed by the author in a commu...

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“…Then, in the late 20th century, the tension-free repair, introduced by Irving Lichtenstein, caused a dramatic drop in recurrence rates and became the procedure of choice. 8,9 However, the introduction of a laparoscopic technique in the early 1990s started a new debate over the best method of inguinal hernia repair.…”

Section: Graph 2: Operative Time and Return To Work (Days)mentioning

confidence: 99%

Short-term Results of Laparoscopic Transabdominal Preperitoneal Inguinal Hernioplasty in a Developing Country

Karim¹,

Katiyar²,

Singh³

et al. 2017

WJOLS

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Introduction: Inguinal hernias have plagued mankind for its upright gait since evolution. Around 16% of the patients presenting to surgery outpatient department have inguinal hernias. Various procedures like the use of patients' own tissues or prosthetic meshes have been used in the past to repair inguinal hernia with varying degrees of success. Laparoscopic hernioplasty is the latest technique with several advantages over open procedures like reduced postoperative pain and shorter recovery period. However, steeper learning curve and cost of the procedure have been cited as limiting factor.

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Bilateral inguinal hernia repair: laparoscopic or open approach?

Abstract: The TEP approach is an effective option for the treatment of bilateral inguinal hernia when performed by experienced surgeons.

Cited by 74 publications

References 25 publications

Laparoscopic totally extra peritoneal (TEP) inguinal hernia repair: A series of 47 cases

Laparoscopic totally extra peritoneal (TEP) inguinal hernia repair: A series of 47 cases

Placement of a Non–Cross-Linked Porcine-Derived Acellular Dermal Matrix During Preperitoneal Laparoscopic Inguinal Hernia Repair

Short-term Results of Laparoscopic Transabdominal Preperitoneal Inguinal Hernioplasty in a Developing Country

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