Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes

Dedemadi, Georgia; Sgourakis, George; Radtke, Arnold; Dounavis, Alexandros; Gockel, Ines; Fouzas, I.; Karaliotas, Constantine; Anagnostou, Evangelos

doi:10.1016/j.amjsurg.2009.12.009

Cited by 51 publications

(28 citation statements)

References 30 publications

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“…1) is still 11% today [4]. In the largest [46] of five meta-analyses [46][47][48][49][50] comparing laparo-endoscopic versus open repair of recurrent hernias following previous open non-mesh and mesh procedures, the minimally invasive technique was associated with less wound complications and a faster recovery to normal activity, whereas the re-recurrence rate was comparable between these two methods. In a registrybased study comparing TEP and TAPP for recurrent inguinal hernia repair, the results concerning intraoperative complications, complication-related reoperations, re-recurrences, pain at rest, pain on exertion, or chronic pain requiring treatment were equivalent [51].…”

Section: Recurrent Inguinal Herniamentioning

confidence: 99%

Current Concepts of Inguinal Hernia Repair

2018

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With more than 20 million patients annually, inguinal hernia repair is one of the most often performed surgical procedures worldwide. The lifetime risk to develop an inguinal hernia is 27-43% for men and 3-6% for women. In spite of all advances, 11% of all patients suffer from a recurrence and 10-12% from chronic pain following primary inguinal hernia repair. By developing evidence-based guidelines and recommendations, the international hernia societies aim to improve the outcome of inguinal hernia repair due to standardization of care. From a total of more than 100 different repair techniques for inguinal and femoral hernias, classified as tissue repair, open mesh repair, and laparo-endoscopic mesh repair, the new International Guidelines of the Hernia-Surge Group only recommend the totally extraperitoneal patch plasty (TEP), transabdominal preperitoneal patch plasty (TAPP), and Lichtenstein techniques. Since a generally accepted technique suitable for all inguinal hernias does not exist, surgeons should provide both an anterior open (Lichtenstein) and a posterior laparo-endoscopic (TEP or TAPP) approach option. The guidelines strongly recommend that surgeons tailor the treatment of inguinal hernias based on expertise, local/national resources, and patient- and hernia-related factors. A tailored approach in inguinal hernia repair should pay heed to the patient- and hernia-related factors, unilateral hernia in men and women, bilateral hernia, recurrent hernia, scrotal hernia, previous pelvic and lower abdominal surgery, severe cardiac or pulmonary comorbidities, and incarcerated hernia.

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Section: Recurrent Inguinal Herniamentioning

confidence: 99%

Current Concepts of Inguinal Hernia Repair

2018

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“…There are six meta-analyses available for comparison of laparo-endoscopic with open repair of recurrent inguinal hernias (5,6,7,8,9,10). The meta-analysis by Pisanu (8) contained the largest number of exclusively prospective randomized trials (RCTs) (11,12,13,14,15,16,17).…”

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confidence: 99%

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

et al. 2017

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with regard to the intraoperative complications, complication-related reoperations, re-recurrences, pain at rest, pain on exertion, or chronic pain requiring treatment. The only difference identified was a significantly higher postoperative seroma rate after TAPP, which was influenced by the surgical technique, previous open primary operation and EHS-classification medial and responded to conservative treatment. Conclusion TEP and TAPP are equivalent surgical techniques for recurrent inguinal hernia repair following previous open primary operation. The choice of technique should be tailored to the surgeon's expertise.

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“…In 2003, a Cochrane library study showed that the outcome of elective LHR is at least equivalent to that of the open approach [268]. This study was confirmed in 2010 by an extensive meta-analysis [269]. On the other hand, there are no comparative studies between the laparoscopic and the open approach in emergency adult cases.…”

Section: Incarcerated/strangulated Herniasmentioning

confidence: 70%

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

et al. 2012

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Background In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases. Methods Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association.

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Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes

Cited by 51 publications

References 30 publications

Current Concepts of Inguinal Hernia Repair

Current Concepts of Inguinal Hernia Repair

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

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