Incidence of contralateral occult inguinal hernia found at the time of laparoscopic trans-abdominal pre-peritoneal (TAPP) repair

Griffin, Kathryn J.; Harris, Sarah; Tang, Tjun Yip; Skelton, Nick; Reed, Joanna B.; Harris, Amy

doi:10.1007/s10029-010-0651-6

Cited by 58 publications

(38 citation statements)

References 11 publications

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“…TAPP has led to an increase in the detection of incipient contra lateral hernias. 13 A 20% increase in detection rates has been reported with use of laparoscopy over and above routine clinical examination. 14 Besides detecting contra lateral inguinal hernias, laparoscopic hernia repair was reported to aid in the detection of other hernias like incisional, Spigelian, obturator and femoral hernias, especially in cases of TAPP.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

2017

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Background: The two common procedures which are nowadays commonly performed for laparoscopic repair of inguinal hernia are transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) mesh repair. This retrospective study was aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms of various outcomes.Methods: In this retrospective study, we included 50 cases of inguinal hernia who underwent laparoscopic approach of inguinal hernia repair at Saveetha medical college and hospital between 2014 and 2016 for a duration of 3 years. Various parameters including the age, sex of patient, type of hernia, preoperative and post-operative complications, duration of hospital stay was analysed.Results: Of the 50 patients who underwent laparoscopic repair, 26 patients underwent TEP and 24 patients under went TAPP procedure. 31 cases were indirect inguinal hernias and 30 cases were direct inguinal hernias, totalling 61 hernia repairs, as 11 patients had bilateral hernia. One female inguinal hernia and 4 cases of recurrent hernia were operated by TAPP method. Postoperative complications like seroma formation; subcutaneous emphysema was seen in TEP group. Two cases of TEP were converted to TAPP and open lichenstein procedure. Postoperative pain was less in both the group. Patients who underwent TEP procedure spent less time in the hospital compared to those who underwent TAPP procedure.Conclusions: There is no major difference in the outcome after TEP and TAPP surgeries except for some minor complications and the results are comparable in both techniques TAPP and TEP. Both the procedures can be practiced according to surgeon’s familiarity of the procedure.

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Section: Discussionmentioning

confidence: 99%

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

2017

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“…It also allows the diagnosis and treatment of unsuspected bilateral hernias, which can occur in up to 25% of assumed unilateral hernias. 14 Despite the advantages, TAPP is costly and time consuming. It requires mesh fixation with either staples or sutures and closure of the peritoneum flap, which is technically difficult.…”

Section: Discussionmentioning

confidence: 99%

Minilaparoscopic Technique for Inguinal Hernia Repair Combining Transabdominal Pre-Peritoneal and Totally Extraperitoneal Approaches

Carvalho

Loureiro

Bonin

et al. 2012

JSLS

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“…(2) No objective physical findings are observed by a physician. (3) Intraabdominal tissues protrude ≥ 10 mm superior to the inguinal ligament, using the inferior epigastric vessels as a reference, during the hernia study (Fig.…”

Section: Definition Of Sihmentioning

confidence: 99%

A Study of the Clinical Manifestation of Subclinical Inguinal Hernias

Ida

Kobayashi

Otsubo

et al. 2017

J St. Marianna Univ

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Contralateral inguinal hernias that occur after inguinal hernia repair may include so-called subclinical inguinal hernias (SIH). These latent hernias are not accompanied by symptoms such as swelling. However, few studies have investigated the prevalence and incidence of SIH using imaging. This paper documents a study of SIH incidence detected on hernia studies and risk factors for the clinical manifestation of SIH. These hernia studies comprised computed tomography images obtained prior to inguinal hernia repair with the patient in a prone position to decompress the inguinal region. Our subjects were 77 patients diagnosed as having a contralateral asymptomatic SIH before inguinal hernia repair between January 2006 and December 2015. Clinical manifestation occurred in 27.3% (21 patients), and the 5-year incidence was 23.3%. We investigated risk factors and found that the size of the hernia that was surgically repaired first was a significant factor (mean value of 157.6 cm 3 in the incidence group and 77.8 cm 3 in the non-incidence group; p=0.029). We also found that the cut-off value for hernia size on the symptomatic side was 44.5 cm 3 ; above this value, the 5-year incidence was 32.5% (13 patients), whereas below it, the incidence was 13.5% (5 patients) (p=0.0205). SIH incidence is relatively high, and patients with large symptomatic hernias tend to experience clinical manifestation of contralateral SIH. We therefore believe that careful follow-up should be performed, and single-stage or early surgery should be considered.

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Incidence of contralateral occult inguinal hernia found at the time of laparoscopic trans-abdominal pre-peritoneal (TAPP) repair

Cited by 58 publications

References 11 publications

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

Minilaparoscopic Technique for Inguinal Hernia Repair Combining Transabdominal Pre-Peritoneal and Totally Extraperitoneal Approaches

A Study of the Clinical Manifestation of Subclinical Inguinal Hernias

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