Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal Hernia [International Endohernia Society (IEHS)]

Bittner, R.; Arregui, Maurice E.; Bisgaard, Thue; Dudai, Moshe; Ferzli, George; Fitzgibbons, Robert J.; Fortelny, René H.; Klinge, U.; Köckerling, F.; Kuhry, Esther; Kukleta, Jan F.; Lomanto, Davide; Misra, Mahesh Chandra; Montgomery, Agneta; Morales-Conde, Salvador; Reinpold, Wolfgang; Rosenberg, Jacob; Sauerland, Stefan; Schug-Paß, C.; Singh, K. J.; Timoney, Michael; Weyhe, Dirk; Chowbey, Pradeep

doi:10.1007/s00464-011-1799-6

Cited by 613 publications

(609 citation statements)

References 108 publications

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“…In 2011, the International Endohernia Society (IEHS) published guidelines on endoscopic treatment for inguinal hernias, focusing on surgical technique and perioperative management of the endoscopic repair [61]. In 2013, the European Association for Endoscopic Surgery (EAES) published the results of a Consensus Development Conference on the endoscopic repair of groin hernias [62], combining the evidence with the opinions of experts and the surgical community.…”

Section: Costsmentioning

confidence: 99%

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Miserez

Peeters

Aufenacker

et al. 2014

Hernia

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359

226

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Purpose: In 2009, the European Hernia Society published the EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients. The Guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. The guidelines expired January 1, 2012. To keep them updated, a revision of the guidelines was planned including new level 1 evidence. Methods: The original Oxford Centre for Evidence-Based Medicine ranking was used. All relevant level 1A and level 1B literature from May 2008 to June 2010 was searched (Medline and Cochrane) by the Working Group members. All chapters were attributed to the two responsible authors in the initial guidelines document. One new chapter on fixation techniques was added. The quality was assessed by the Working Group members during a 2-day meeting and the data were analysed, especially with respect to any change in the level and/or text of any of the conclusions or recommendations of the initial guidelines. In the end, all relevant references published until January 1, 2013 were included. The final text was approved by all Working Group members. Results: For the following topics, the conclusions and/or recommendations have been changed: indications for treatment, treatment of inguinal hernia, day surgery, antibiotic prophylaxis, training, postoperative pain control and chronic pain. The addendum contains all current level 1 conclusions, Grade A recommendations and new Grade B recommendations based on new level 1 evidence (with the changes in bold). Conclusions: Despite the fact that the Working Group responsible for it tried to represent most kinds of surgeons treating inguinal hernias, such general guidelines inevitably must be fitted to the daily practice of every individual surgeon treating his/her patients. There is no doubt that the future of guideline implementation will strongly depend on the development of easy to use decision support algorithms tailored to the individual patient and on evaluating the effect of guideline implementation on surgical outcome. At the 35th International Congress of the EHS in Gdansk, Poland (May 12-15, 2013), it was decided that the EHS, IEHS and EAES will collaborate from now on with the final goal to publish new joint guidelines, most likely in 2015

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Section: Costsmentioning

confidence: 99%

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Miserez

Peeters

Aufenacker

et al. 2014

Hernia

Self Cite

359

226

View full text Add to dashboard Cite

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“…In our experience, the TAPP procedure operating time has progressively improved accordingly to surgeon's and staff experience with an average operative time of 40min in bilateral hernias. Fibrin glue has proven to be both efficient and secure in mesh fixation and currently is recommended by Several International guidelines (15)(16)(17)(19)(20)(21)(22)(23)(24).…”

Section: Discussionmentioning

confidence: 99%

“…Despite the previous non-absorbable tacks which were associated to a high incidence of nerve or muscular entrapment causing pain, para-esthesia and other chronic complications, the new U-shaped absorbable device may reduce pain or not result in it at all (15)(16)(17)(19)(20)(21)(22)(23)(24). Conversely, the tacks can be used to close the peritoneum reducing operating times and technical difficulties.…”

Section: Discussionmentioning

confidence: 99%

“…Fibrin glue seems to achieve both efficiency and security of mesh fixation, without the potential complication caused by stapling the mesh (13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24).In recent years, it has become possible to use absorbable tacks to fix the mesh and close the peritoneum (25). Shape of the new tack with its absorbable features together aimed to improve the early and late postoperative outcome after TAPP.…”

Section: Introductionmentioning

confidence: 99%

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Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

Agresta

Marzetti

Verza

et al. 2016

J Minim Invasive Surg Sci

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Background: Preliminary studies have indicated advantages of mesh fixation using fibrin glue in TAPP compared with tack fixation. Objectives: We report the results of a prospective experience in fixing mesh during TAPP with absorbable tacks. Patients and Methods: 50 consecutive men (who had bilateral inguinal hernia) were enrolled and followed up for at least 1 year. The primary measured outcome was pain experienced in day 1 of post-op. The secondary outcomes measured were postoperative scores of pain at rest, discomfort, and fatigue, foreign-body sensation, and hernia recurrence after 12 months. The outcomes were measured using a visual analogue scale, a verbal rating scale and numerical rating scales. A comparison was done within a historical group with the same demographic and hernia characteristics where the meshes have been fixed with fibrin glue. Results: The group of tacks 'TAPP' showed good results concerning the level of pain, fatigue and foreign body sensation comparable with those of the historical group. There were significant differences concerning the length of surgery where absorbable tacks performed better. Regarding cost of surgery, the fibrin glue showed effective results. Conclusions: The use of absorbable tacks during TAPP confers significant benefit regarding the operating time, however it is a disadvantage due to the cost when compared with fibrin glue.

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“…7 The recurrence rate after laparoscopic repair has been comparable to open repair and varies between 1-4%.Up till now, no technique seems to be superior towards the other. 8 Both techniques show equal advantages over open techniques, equal rates of complications and equal operative times. Successful inguinal hernia treatment without mesh can be achieved using Desarda repair, as it is effective as the standard Lichtenstein procedure.…”

Section: Repair Techniquesmentioning

confidence: 99%

Repair of inguinal hernia utilizing external oblique muscle sheath as posterior wall strengthening and placing spermatic cord subcutaneously

Sunkaria¹,

Bhatia²,

Bharati³

et al. 2017

Int. J. Curr. Res. Med. Sci

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Background-Inguinal hernia can be repaired surgically in three ways: open sutured tissue repair , open mesh repair, and laparoscopic mesh repair . This prospective study aimed at comparing the efficacy of mesh and non mesh repair technique in terms of recurrence rate of inguinal hernia, foreign body reaction, hospital stay and early ambulation, complications. Method-This prospective study was carried out on 50 male patients with inguinal hernia. In 25 cases, after doing posterior wall strengthening of inguinal canal by conventional Bassini's repair, placement of external oblique sheath was done behind spermatic cord reinforcing the dorsal wall of inguinal canal and placing the spermatic cord in the subcutaneous plane. The control group comprised of 25 patients in whom hernioplasty was done using prolene mesh. Results-Most of the patients in study group; 16(64%) were discharged on second day following surgery with mean hospital stay of 2.16, while most of control group patients were discharged on day 3 following surgery with mean stay of 4.32 days. The p value was less than .0001 and the difference was statistically highly significant. Conclusion-Repair of inguinal hernia (Direct & Indirect) utilizing external oblique muscle sheath as posterior wall strengthening and placing spermatic cord subcutaneously as compared to mesh repair is physiological, mechanically reasonable, unsophisticated and results in greater patient's comfort, rapid rehabilitation, is cost effective and sort with lesser complications.

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Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal Hernia [International Endohernia Society (IEHS)]

Cited by 613 publications

References 108 publications

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Laparoscopic Tapp Inguinal Hernia Repair: Mesh Fixation With Absorbable Tacks, Initial Experience

Repair of inguinal hernia utilizing external oblique muscle sheath as posterior wall strengthening and placing spermatic cord subcutaneously

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