Laparoscopic approach in emergency for the treatment of acute incarcerated groin hernia: a systematic review and meta-analysis

Sartori, Alberto; Balla, Andrea; Botteri, Emanuele; Scolari, F.; Podda, Mauro; Lepiane, Pasquale; Guerrieri, Mario; Morales-Conde, Salvador; Szold, Amir; Ortenzi, Monica

doi:10.1007/s10029-022-02631-9

Cited by 15 publications

(14 citation statements)

References 44 publications

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“…In a recent meta‐analysis on laparoscopic treatment of acute incarcerated inguinal hernia, minimally‐invasive repair was found to be a better option compared to open surgery in terms of length of hospital stay and postoperative complications in hemodynamically stable patients without peritonitis 17 . In our analysis, we found a shorter length of hospital stay in the R‐TAPP group in both the overall and the PSM analyses, although it did not reach statistical significance.…”

Section: Discussioncontrasting

confidence: 65%

Safety and feasibility of emergency robot‐assisted transabdominal preperitoneal repair for the treatment of incarcerated inguinal hernia: A retrospective study

Murgante Testa,

Mongelli,

Sabbatini

et al. 2024

World j. surg.

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BackgroundFew studies assessed robotic in emergency setting and no solid evidence was demonstrated. The aim of this study was to evaluate the feasibility and safety of robot‐assisted transabdominal preperitoneal (R‐TAPP) repair for the treatment of incarcerated inguinal hernia.MethodsWe retrospectively searched from a prospectively maintained database patients who underwent R‐TAPP or open surgery for incarcerated inguinal hernias from January 2018 to March 2023. The primary endpoint was to assess safety and feasibility of the R‐TAPP compared to the standard approach. For eligible patients, data was extracted and analyzed using a propensity score‐matching (PSM).ResultsThirty‐four patients were retrieved from our database, 15 underwent R‐TAPP, while 19 underwent open surgery. Mean age was 73.1 ± 14.6 years, 30 patients (88.2%) were male and mean BMI was 23.5 ± 3.2 kg/m2. No intraoperative complication occurred. Three cases requiring small bowel resection were all in the open surgery group (p = 0.112). The operative time was 108 ± 31 min versus 112 ± 31 min in the R‐TAPP and open surgery groups (p = 0.716). Seven postoperative complications occurred, only one classified as severe was in the open surgery group. The length of hospital stay was 2.9 ± 1.8 in the R‐TAPP versus 4.2 ± 2.3 min in the open surgery group (p = 0.077). PSM analysis showed similar postoperative outcomes and costs in both groups.ConclusionsDespite its limitations, our study appears to endorse the safety and feasibility of the robotic‐assisted treatment for incarcerated inguinal hernia. This approach yielded comparable results to open surgery, albeit in a limited number of patients, suggesting it might be a viable alternative.

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Section: Discussioncontrasting

confidence: 65%

Safety and feasibility of emergency robot‐assisted transabdominal preperitoneal repair for the treatment of incarcerated inguinal hernia: A retrospective study

Murgante Testa,

Mongelli,

Sabbatini

et al. 2024

World j. surg.

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“…By evaluating the Italian experience and by performing several literature reviews, 7 we have noticed that more than a few issues need to be addressed.…”

Section: To the Editormentioning

confidence: 99%

Another Brick in the Wall: We Need More Education!

Montori

Botteri

Sartori

et al. 2022

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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“…While both are highly popular for elective operations compared to open surgery, open surgery remains the treatment of choice for emergency surgeries. [ 5 ]…”

Section: Introductionmentioning

confidence: 99%

Is TAPP the Right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?

Eminoğlu

2024

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: Incarcerated inguinal hernia requires emergency intervention.The incarcerated segment should be thoroughly inspected in order to evaluate the degree of ischemia and decide whether resection is required.The aim of this study is to evaluate the applicability of TAPP for patients seen in the emergency department for incarcerated inguinal hernias. METHODS: The study was done retrospectively.Patients who presented to the emergency department and were operated with the TAPP technique were included.İn all patients laparoscopic abdominal exploration was done to determine the extent of the incarcerated intestinal segment and evaluate the need for resection.TAPP technique was used to laparoscopically repair the hernia. The demographics of the patients,technique used for the hernia repair,necessity for resection,postoperative mortality and morbidity and recurrence rates were recorded. RESULTS: 109 patients were seen for incarcerated hernia.12 patients were excluded either because they were not suitable for or did not consent to laparoscopic repair.97 patients had hernia repair with TAPP technique.İn 6 patients spontaneous reduction of the incarcerated segment was observed after anesthesia induction.İn 9 patients necrosis of the incarcerated segment was observed and resection and anostomosis was performed.7 patients had laparoscopic 2 patients had open resections.Seroma was observed in 7, hematoma in 3 and wound infection in 2 patients postoperatively.No mortality was seen.1 patient had a recurrence in the follow up period. CONCLUSION: TAPP technique is a good alternative for selected patients undergoing emergency hernia repair because it provides the surgeon with the possibility to evaluate the incarcerated intestinal segment thoroughly while preserving the advantages of laparoscopic surgery.

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Laparoscopic approach in emergency for the treatment of acute incarcerated groin hernia: a systematic review and meta-analysis

Cited by 15 publications

References 44 publications

Safety and feasibility of emergency robot‐assisted transabdominal preperitoneal repair for the treatment of incarcerated inguinal hernia: A retrospective study

Safety and feasibility of emergency robot‐assisted transabdominal preperitoneal repair for the treatment of incarcerated inguinal hernia: A retrospective study

Another Brick in the Wall: We Need More Education!

Is TAPP the Right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?

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