Laparoscopic surgery for inguinal hernia: Current status and controversies

Bhandarkar, Deepraj S.; Shankar, Manu; Udwadia, Tehemton E.

doi:10.4103/0972-9941.27735

Cited by 21 publications

(19 citation statements)

References 18 publications

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“…Laparoscopic hernia repair can be done by two methods -Trans Abdominal Pre Peritoneal (TAPP) and Totally Extra Peritoneal (TEP). 1 Both these methods have their advantages and disadvantages. In TEP mesh is placed in the extra peritoneal space which is fixed by various fixation devices, so that it does not get displaced leading to recurrence of post-operative complications.…”

Section: Introductionmentioning

confidence: 99%

To compare advantage of non-fixation versus fixation of mesh in Laparoscopic totally Extra Peritoneal (TEP) repair of inguinal hernias

Gangopadhyay

Ghosh

2018

Asian J Med Sci

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Background: Mesh fixation during laparoscopic totally extra peritoneal repair is thought to be necessary to prevent recurrence of infections and post-operative complications. However, mesh fixation might increase the postoperative complications and chronic pain. This study was to describe the experience of a single surgeon at R.G. Kar Medical College and Hospital performing this operation. This study evaluates the outcomes of laparoscopic hernioplasty performed with and without mesh fixation at our institution.Aims and Objective: To compare advantage of non-fixation versus fixation of mesh in laparoscopic Totally Extra peritoneal (TEP) repair of inguinal hernias. This study was conducted for analysis of outcome with respect to pain, operative time, intra and postoperative complication, days of hospital stay, recurrence regarding the procedure between fixation and non-fixation of mesh in totally extra peritoneal repair of inguinal hernia.Materials and Methods: The study was conducted in the Department of Surgery, R.G.Kar Medical College and Hospital from January 2011 to April 2012. All patients admitted in General surgical unit presenting with uncomplicated unilateral inguinal hernias were included. A total of 60 patients were included in the study, of which 30 patients underwent TEP repair without fixation of mesh and for remaining 30 patients the mesh was fixed using metallic tacks.Results: Difference in average pain score at 24 hrs, 72 hrs, 1 month and 6 months was significant statistically (p =0.003, p = 0.003, p< 0.001 and p=0.001 respectively) when compared in both groups. There was no recurrence in the study period in either of the groups. The duration of operative time and days of hospital stay was higher in fixation group and was statistically significant.Conclusion: Mesh fixation appears to be disadvantageous in TEP repair of inguinal hernias compared to non- fixation of mesh as it is associated with higher operative time, higher postoperative complication and an increased likelihood of developing chronic groin pain. The omission of mesh fixation did not increase the risk of early hernia recurrence.Asian Journal of Medical Sciences Vol.9(4) 2018 35-40

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Section: Introductionmentioning

confidence: 99%

To compare advantage of non-fixation versus fixation of mesh in Laparoscopic totally Extra Peritoneal (TEP) repair of inguinal hernias

Gangopadhyay

Ghosh

2018

Asian J Med Sci

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“…Bhandarkar S et al, in his study reported that the wound infection rates were significantly lower after laparoscopic techniques (1%) than after the Lichtenstein operation (2.7%) and other open mesh repairs (2.4%). The incidence of inguinal hematoma was found to be significantly lower after the laparoscopic repairs (13.1%) than after the Lichtenstein repair (16.0%) as well as with the other open mesh techniques (14.3%) (21) . Erhan et al conducted a study and reported 4-6% of patients having chronic pain after Lichtenstein and preperitoneal hernia repair (22) and Poobalan et al…”

Section: Discussionmentioning

confidence: 93%

Randomised Controlled Study of Short Term Outcomes of Laparoscopic Inguinal Hernia Mesh Repair and Lichensteins Inguinal Hernia Mesh Repair

R¹

2018

jmscr

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“…In TAPP the surgeon goes into the peritoneal cavity and places a mesh through a peritoneal incision over possible hernia sites. TEP is different as the peritoneal cavity is not entered and mesh is used to seal the hernia from outside the thin membrane covering the organs in the abdomen (the peritoneum) [49].…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study between Laparoscopic Hernia Repair and Open Lichtenstein

2016

IJSR

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Laparoscopic surgery for inguinal hernia: Current status and controversies

Cited by 21 publications

References 18 publications

To compare advantage of non-fixation versus fixation of mesh in Laparoscopic totally Extra Peritoneal (TEP) repair of inguinal hernias

To compare advantage of non-fixation versus fixation of mesh in Laparoscopic totally Extra Peritoneal (TEP) repair of inguinal hernias

Randomised Controlled Study of Short Term Outcomes of Laparoscopic Inguinal Hernia Mesh Repair and Lichensteins Inguinal Hernia Mesh Repair

A Comparative Study between Laparoscopic Hernia Repair and Open Lichtenstein

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