Comparison of endoscopic surgery and Lichtenstein repair for treatment of inguinal hernias

Lyu, Yunxiao; Cheng, Yunxiao; Wang, Bin; Du, Weibing; Xu, Yueming

doi:10.1097/md.0000000000019134

Cited by 25 publications

(33 citation statements)

References 60 publications

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“…В то же время несколько крупных обзоров показали, что лапароскопическая герниопластика ПГ снижает риск формирования острой и хронической послеопе-рационной боли и сокращает время нетрудоспособности пациентов [51,52]. В 2019 г. опубликовано исследование регистра 15-летнего наблюдения за 57 906 пациентами, которым выполнялась пластика Лихтенштейна или лапароскопическая герниопластика (TEP, totally extraperitoneal или TAPP, transabdominal preperitoneal).…”

Section: Surgery хирургияunclassified

Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Ооржак¹,

Шост²,

Мозес

et al. 2021

Acta biomedica scientifica

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Inguinal hernias (IH) are widespread in the human population and occur in 27–43 % of men and 3–6 % of women. Many risk factors for IH have been overestimated in the last decade: male gender is considered the leading factor (the ratio between men and women is approximately 1:7), less significant factors are heredity (most significant for women), physical activity (more significant for men), age (peak prevalence of IH occurs at 5 years and 70–80 years), congenital or acquired connective tissue dysplasia, history of prostatectomy, low body mass index.Hernioplasty with the use of synthetic mesh prostheses remains the most popular technique for surgical correction of IH. Performing non-prosthetic hernioplasty is only recommended if mesh prostheses are not available, for example in poor countries. In open hernioplasty using mesh prostheses, different methods are used today: Plug & Patch, Prolene Hernia System, Parietene Progrip, sutureless plastic according to Trabucco, Stoppa, preperitoneal techniques TIPP (trans-inguinal pre-peritoneal), TREPP (transrectus pre-peritoneal), TEP (total extraperitoneal), however, none of them showed significant advantages over the gold standard of open hernioplasty – tensionfree repair according to Liechtenstein.Laparoscopic IH correction is represented by the TAPP (transabdominal preperitoneal) technique, performed through the abdominal cavity, and TEP (total extraperitoneal) – extraperitoneal prosthetic hernioplasty. None of them has a significant advantage in the treatment of IH; therefore, when choosing a treatment method, the surgeon should be guided by the cost of the operation and the level of proficiency in one or another hernioplasty technique.

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Section: Surgery хирургияunclassified

Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Ооржак¹,

Шост²,

Мозес

et al. 2021

Acta biomedica scientifica

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“…The results of the literature search are presented in Table 1. Seventeen randomised control trials (RCTs) and 11 systematic reviews (SRs) met the inclusion criteria and were included in the analysis 7,12,17–43 . The review revealed two key areas of discussion including the operative method and type of mesh used.…”

Section: Resultsmentioning

confidence: 99%

“…Twelve studies evaluated the rates of peri‐operative complication between laparoscopic and open‐mesh hernia repairs, including haematoma, seroma, post‐operative pain, wound infection and hydrocele. 18,22–25,27,28,30,31,34,36,38 . Rates of these complications ranged from 2%–8% for haematoma, 5%–13% for seroma and 0%–1% for wound infection across all operative methods 27,44 Four studies reported no difference between open and laparoscopic methods whilst seven documented increased acute post‐operative pain after open repair 18,22–25,27,28,30,31,34,36,38 .…”

Section: Resultsmentioning

confidence: 99%

Inguinal hernia repair: a global perspective

O’Brien

Sinha

Turner

2021

ANZ Journal of Surgery

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Background Inguinal hernia repair is one of the most common operations performed worldwide with most of the burden of these occurring in low‐ or middle‐income countries (LMICs). There has been much research investigating the most effective method of hernia repair in resource‐rich countries, however very little has been done to determine the most cost‐beneficial method of hernia repair in LMICs. Methods A systematic review of the English literature through PubMed and Scopus was conducted according to the PRISMA statement. Results Twenty‐eight studies met the inclusion criteria of which 17 were randomised controlled trials and 11 were systematic reviews. Three areas of investigation were established from the literature search, namely operative method and type of mesh used (where applicable). Open‐mesh procedures were shown to be less costly and have shorter operative times than laparoscopic methods. People who underwent laparoscopic hernia repair regularly returned to normal activities earlier than those who had open‐mesh procedures. However, there was no other difference in complication rates between these two methods. Recent investigations have revealed that sterilised synthetic mosquito net was similar to hernia‐specific meshes whilst significantly reducing cost. Conclusion We postulate that the most cost‐beneficial method of hernia repair for implementation in LMICs is using open‐mesh procedures with sterilised mosquito net under local anaesthetic. Further cost–benefit research is required in this area.

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“…Además, diferentes estudios han demostrado que el abordaje endoscópico es costo/efectivo, y proporciona una recuperación/reincorporación a actividades cotidianas más rápida, así como una menor incidencia de dolor posoperatorio crónico. (3,(13)(14)(15) Por otro lado, las técnicas endoscópicas (TEP y TAPP) tienen ventajas y desventajas propias, por ejemplo, en el TAPP es mas fácil identificar la anatomía, se reducen las probabilidades de lesión vascular, y es preferible en las hernias bilaterales, pero como contraparte, las lesiones intraabdominales son más frecuentes y es necesario cerrar el peritoneo parietal, lo cual puede ser un tiempo laborioso. (3) Hasta ahora la literatura ha fallado en demostrar una clara superioridad de un abordaje endoscópico sobre otro, siendo inconsistentes los estudios comparativos sobre ambas técnicas en cuanto a tiempo operatorio, complicaciones, y recurrencias.…”

Section: Resultsunclassified

“…Estos últimos se estiman entre 2-5% luego del abordaje tipo TAPP, siendo una de las principales ventajas de esta técnica sobre el procedimiento de Lichtenstein. (3,(13)(14)(15) En nuestra serie la presencia de dolor crónico fue del 3,7%, sin casos severos o debilitantes, cediendo paulatinamente en todos los pacientes mediante la administración de analgésicos comunes.…”

Section: Resultsunclassified

Tratamiento laparoscópico de la hernia inguinal por técnica transabdominal preperitoneal. Análisis retrospectivo de una serie de casos

Zavarse¹,

Aulestia²,

Navarrete-Llopis³

et al. 2020

Rev Venez Cirugía

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El objetivo del presente trabajo es reportar y analizar nuestra experiencia con la técnica endoscópica transabdominal preperitoneal (TAPP) en el tratamiento de la hernia inguinal. Métodos: Estudio retrospectivo mediante la revisión de nuestra base de datos electrónica y las historias clínicas en físico de la Clínica Santa Sofía, de los pacientes con diagnóstico de hernia inguinal tratados por los autores en los últimos 8 años. Se incluyeron para el análisis los casos con abordaje laparoscópico, recolectándose sexo, edad, diagnóstico pre e intraoperatorio, procedimientos adicionales, tiempo quirúrgico, complicaciones perioperatorias, tiempo de hospitalización, y morbilidad. Resultados: Se recolectaron 158 intervenciones de hernias inguinales en 102 pacientes, 89 hombres y 13 mujeres, de las cuales 135 (85,4%) fueron por abordaje laparoscópico tipo TAPP. Mediante la laparoscopia se modificó el diagnóstico preoperatorio en 17 pacientes (16,6%). El tiempo quirúrgico promedio fue de 50,5±11,6 minutos, y se presentaron 3 complicaciones perioperatorias y 4 tardías, para una morbilidad total de 5,1%. La estancia hospitalaria fue de 1±0,08 días y el tiempo de seguimiento promedio fue de 7,5±15,4 meses, detectándose 3 recidivas (2,2%) en ese período. Cinco pacientes presentaron dolor crónico posoperatorio, ninguno debilitante, que cedió gradualmente en todos los casos utilizando analgésicos comunes. Conclusiones: La técnica TAPP es una alternativa válida en el tratamiento de la hernia inguinal. Sus principales ventajas son las de optimizar el diagnóstico, permitiendo la reparación en un solo tiempo de hernias no diagnosticadas clínicamente, y su baja incidencia de dolor posoperatorio crónico.

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Comparison of endoscopic surgery and Lichtenstein repair for treatment of inguinal hernias

Cited by 25 publications

References 60 publications

Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Inguinal hernia repair: a global perspective

Tratamiento laparoscópico de la hernia inguinal por técnica transabdominal preperitoneal. Análisis retrospectivo de una serie de casos

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