Comparison of intraocular pressure during laparoscopic totally extraperitoneal (TEP) versus transabdominal preperitoneal (TAPP) inguinal hernia repair

Bhoopat, Taniya; Chansaenroj, Pawan

doi:10.1007/s00464-021-08487-x

Cited by 2 publications

(1 citation statement)

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“…Laparoscopic hernia surgery shows various advantages over open inguinal hernia surgery (7)(8)(9), including lower operation times, early recovery, and fewer complications (10). However, the choice between TEP and TAPP remains unclear (11)(12)(13). For this reason, selection of the laparoscopic procedure is dependent on the surgeon's preference.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic transabdominal preperitoneal herniorrhaphy performed using an articulating laparoscopic instrument is feasible and more efficient

Park,

Kim

2024

Front. Surg.

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IntroductionIpsilateral left-sided-approach laparoscopic transabdominal preperitoneal herniorrhaphy (LA-TAPP) is a procedure used for inguinal hernia. However, conventional laparoscopic instruments may limit the operator's ability to approach certain areas during the procedure. This study aims to assess the feasibility of using an articulating bipolar grasper (ArtiSential®).Material and methodsBetween January 2017 and May 2022, 184 patients with inguinal hernia underwent LA-TAPP and were divided into an articulating group (AG) and a conventional group (CG). The two groups were compared for clinical characteristics, surgical outcomes, and recurrence rates. Learning curve analysis was also performed using the CUSUM score.ResultsThe AG and CG included 72 and 112 patients, respectively. Both groups had similar age, sex, BMI, hernia location, and hernia type. The AG had a significantly shorter operation time (59.2 ± 29.4 vs. 77.8 ± 22.4 min, p < 0.001) than the CG. The duration of hospitalization was slightly shorter in the AG (2.2 ± 0.5 vs. 2.5 ± 1.4 days, p = 0.056). Postoperative complications were lower in the AG (5.6%) than in the CG (9.8%). Scrotal neuralgic pain was observed in 1.4% of patients in the AG and 3.6% of patients in the CG. Learning curve analysis revealed that 24 cases were needed to overcome the learning curve for using an articulating device.ConclusionIP-TAPP with an articulating instrument is a safe and efficient procedure. The operation time can be reduced by improving the surgeon's procedural autonomy and reducing collisions between the instruments and the patient's ribs.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic transabdominal preperitoneal herniorrhaphy performed using an articulating laparoscopic instrument is feasible and more efficient

Park,

Kim

2024

Front. Surg.

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Risk Factors for Increased Intraocular Pressure and Ophthalmic Complications During Robot-Assisted Laparoscopic Prostatectomy

Lutfarakhmanov,

Lifanova,

Mironov

et al. 2024

Ocular Hypertension - New Advances

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Robot-assisted laparoscopic prostatectomy (RALP) is the most effective treatment option for prostate cancer. Special conditions of the operation affect intraocular pressure (IOP). The purpose of this review was to systematize new data on changes in IOP during RALP, to review the ophthalmic complications related to the robot-assisted approach, and to suggest measures to avoid such issues. A systematic search for articles of the contemporary literature was performed in PubMed database for complications in RALP procedures focused on positioning, access, and operative technique considerations. Several complications in RALP procedures can be avoided if the surgical team follows some key steps. Adequate patient positioning must avoid skin, peripheral nerve, and muscle injuries, and ocular and cognitive complications mainly related to steep Trendelenburg positioning in pelvic procedures. The robotic surgical team must be careful and work together to avoid possible complications. This review offers the first assessment of perioperative changes in IOP and ophthalmic complications during RALP and several steps in surgical planning to reach this goal. Further studies with a longer follow-up period are necessary to determine the clinical efficacy and safety of various types of general anesthesia.

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Comparison of intraocular pressure during laparoscopic totally extraperitoneal (TEP) versus transabdominal preperitoneal (TAPP) inguinal hernia repair

Cited by 2 publications

References 50 publications

Laparoscopic transabdominal preperitoneal herniorrhaphy performed using an articulating laparoscopic instrument is feasible and more efficient

Laparoscopic transabdominal preperitoneal herniorrhaphy performed using an articulating laparoscopic instrument is feasible and more efficient

Risk Factors for Increased Intraocular Pressure and Ophthalmic Complications During Robot-Assisted Laparoscopic Prostatectomy

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