Impact of slit and nonslit mesh technique on testicular perfusion and volume in the early and late postoperative period of the totally extraperitoneal preperitoneal technique in patients with inguinal hernia

Celik, Aysun Simsek; Memmı, Naim; Çelebi, Fatih; Güzey, Deniz; Çelik, Atilla; Kaplan, Rafet; Öncü, Mehmet

doi:10.1016/j.amjsurg.2008.11.038

Cited by 18 publications

(24 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Leibl’s results are consistent with Celik et al’s [ 5 ] previous study whereby they confirm that LHR has no negative effect on testicular blood flow and volume, nor on recurrence, in both Slit or No-Slit groups. Korman et al [ 24 ], in their study on the fashioning of differently cut meshes, did not find any resulting differences in terms of recurrence and chronic pain.…”

Section: Discussionsupporting

confidence: 87%

“…Since 1990, when the first LHR repair was described, LA for treatment of groin hernia has been widely practiced [ 5 ]. TAPP and TEP techniques guarantee the same results as open inguinal hernia repair in terms of recurrence, which add to the advantages of LA over conventional surgery, such as less pain, faster return to daily activities and better aesthetic outcome.…”

Section: Discussionmentioning

confidence: 99%

“…After a literature review, we found nine articles on the slit vs. non-slit topic [ 5 , 6 , 10 – 16 ] (Table 3 ). Leibl et Al.…”

Section: Discussionmentioning

confidence: 99%

“…Some surgeons presume that a slit mesh wrapped around the cord, thereby fashioning a new internal ring, could prevent a hernia recurrence which, however, could cause circumferential scarring with subsequent postoperative pain. No evidence exists on spermatic cord injury nor a reduction in the recurrence rate due to the slit procedure has been published [ 5 – 11 ]. To date, only nine studies have compared the results of slit vs. no-slit mesh techniques, six during a TEP [ 5 , 6 , 12 – 15 ] and three others during a TAPP [ 10 , 11 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Lack of advantages of slit mesh placement during laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP): a single centre, case matched study

Bracale

Andreuccetti

Sodo³

et al. 2018

BMC Surg

View full text Add to dashboard Cite

BackgroundDuring laparoscopic trans-abdominal pre-peritoneal hernia repair (TAPP) the positioning of the mesh around the spermatic cord could provide an additional anchoring point and ensure better defect closure, thereby preventing mesh movement and recurrence. The primary aim of our retrospective study was to determine if, during a TAPP procedure, an advantageous difference for mesh placement exists between the slit and the non-slit techniques in terms of recurrence rate. Secondary aims were intra and post-operative complications and the time required to return to normal activity.MethodsFrom January 2010 to December 2015, data from patients who had undergone TAPPs at our Institution were prospectively collected. We performed a retrospective case control matched study of two homogenous (BMI, Age, type of hernia) groups of 100 patients who underwent respectively TAPP with no slit mesh placement (Group NS) and slit mesh placement (Group S). Statistical analysis was carried out using a SPSS 20. To compare continuous variables, an independent sample T-test was performed. A Chi-square test was employed for categorical data.ResultsNo differences were found between the slit and non-slit groups in terms of biometric features and intra and post-operative outcomes were found to be similar in both groups as well. In particular, at mean follow-up of 57.34 ± 10.56 months for Group NS and 55.66 ± 8.61 months for Group S months only one recurrence per group was found.ConclusionOur study failed to prove a superiority of the slit mesh technique over the no-slit mesh technique during TAPP. However, in light of its not being a randomized study, a subsequent, well-designed RCT would be desirable in order to better determine if the Slit mesh technique could prove to be advantageous enough to justify its routine use during the TAPP procedure.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

“…After a literature review, we found nine articles on the slit vs. non-slit topic [ 5 , 6 , 10 – 16 ] (Table 3 ). Leibl et Al.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Lack of advantages of slit mesh placement during laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP): a single centre, case matched study

Bracale

Andreuccetti

Sodo³

et al. 2018

BMC Surg

View full text Add to dashboard Cite

show abstract

“…All previous studies [6,[24][25][26][27][28][29][30][31] have been mostly pilot studies (number of patients in each group = 13-30) with an incomplete study design. In a few studies only testicular volume [28] was assessed, while in others only hormone markers, semen analysis [31], or clinical examinations [27] were done.…”

Section: Testicular Functionsmentioning

confidence: 99%

Testicular functions, chronic groin pain, and quality of life after laparoscopic and open mesh repair of inguinal hernia: a prospective randomized controlled trial

et al. 2011

View full text Add to dashboard Cite

show abstract

Transabdominal Preperitoneal Patch Plasty (TAPP): Standard Technique and Specific Risks

Bittner

Kukleta²,

Chen

2018

Laparo-Endoscopic Hernia Surgery

View full text Add to dashboard Cite

Impact of slit and nonslit mesh technique on testicular perfusion and volume in the early and late postoperative period of the totally extraperitoneal preperitoneal technique in patients with inguinal hernia

Cited by 18 publications

References 19 publications

Lack of advantages of slit mesh placement during laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP): a single centre, case matched study

Lack of advantages of slit mesh placement during laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP): a single centre, case matched study

Testicular functions, chronic groin pain, and quality of life after laparoscopic and open mesh repair of inguinal hernia: a prospective randomized controlled trial

Transabdominal Preperitoneal Patch Plasty (TAPP): Standard Technique and Specific Risks

Contact Info

Product

Resources

About