Long-term follow-up of endoscopic totally extraperitoneal direct inguinal hernia repair using the Endoloop technique

Clout, Emma; Thayaparan, Mirun; Douglas, Cameron M.; Berney, Christophe R

doi:10.1007/s00464-018-6602-5

Cited by 3 publications

(4 citation statements)

References 35 publications

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“…Being able to diagnose and simultaneously repair an unexpected occult defect (in our series: 42 femoral and 21 obturator hernias) provides a clear benefit of TEP repair over conventional open herniorrhaphy. Interestingly, identical findings were reported by others meaning that if you are looking for it, you will be more likely to find it [19,20].…”

Section: Discussionsupporting

confidence: 81%

“…Maintenance of mesh integrity that can offer permanent coverage of the Hesselbach triangle is therefore essential to maintain a very low risk of hernia recurrence. In a recently published long-term (median 5.9 years) follow-up study on TEP inguinal hernia repair and fibrin glue mesh fixation, we did not report any case of hernia recurrence [20].…”

Section: Discussioncontrasting

confidence: 49%

“…With only 2.4% of our patients having a CCS>1 at Week 6 post-operative and none of them necessitating any pain killer, our findings compare well with both study results and validate the short-term benefit of fibrin sealant with regards to pain and satisfaction index following endoscopic inguinal hernia repair. Similarly, we only reported 1.3% incidence of chronic groin pain after a median follow-up of almost 6 years [20].…”

Section: Discussionmentioning

confidence: 57%

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Quality-of-Life Post-TEP Inguinal Hernia Repair with Fibrin Sealant Polyester Mesh Fixation

2021

J Surg

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Background: To evaluate the short-term benefit of endoscopic inguinal hernia repair using anatomical polyester mesh secured with fibrin glue. Material and methods:Over an 8-year period, 435 patients underwent elective TEP inguinal hernia repair. Mesh fixation was achieved using exclusively fibrin sealant. Patients were reviewed at 2, 6 weeks and thereafter if judged necessary. QoL was assessed using the preoperative Modified Carolina Comfort Scale (MCCS) and post-surgical CCS score.Results: A total of 133 associated pathologies in 112 patients (25.7%) were simultaneously treated. Male patients had a 6.7% risk having an associated occult femoral and/or obturator hernia. This incidence was significantly higher in female at 52.1%. At Week2, 83.4% of the patients had no pain and at Week6, average CCS score was 0.14 with 97.6% being <1. This improvement was significant (P<0.0001).Conclusions: TEP inguinal hernia repair, using anatomical polyester mesh and fibrin sealant, offers excellent short-term benefit, irrespective of associated pathologies.

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Section: Discussionsupporting

confidence: 81%

Section: Discussioncontrasting

confidence: 49%

Section: Discussionmentioning

confidence: 57%

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Quality-of-Life Post-TEP Inguinal Hernia Repair with Fibrin Sealant Polyester Mesh Fixation

2021

J Surg

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“…The advantage of direct defect closure in prevention of recurrence was also reported in a retrospective study by Ng et al [13] in TAPP and TEP repair using interrupted non-resorbable single sutures for MII and MIII inguinal hernias with a 6.4% recurrence rate in the non-closure group vs. 0% in the closure group after 1 year. In both studies [12,13] , besides the defect closure, mesh fixation was performed by resorbable tacker.…”

Section: Seromasupporting

confidence: 63%

Is mesh fixation in TAPP and TEP still necessary?

Fortelny¹

2021

MIS

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One of the most serious complications after inguinal hernia repair is still the occurrence of chronic pain. The literature describes rates of severe chronic pain of 3%-6%. Laparo-endoscopic inguinal hernia repair is favored to prevent postoperative pain through a minimally invasive approach and sparing of the layers of tissue covering nerves and vessels in terms of reduced risk of damage to these structures. However, the method of fixation of the mesh is still controversial discussed. The use of these penetrating devices such as staples and staplers has been shown to often be complicated by injury to nerves and vessels and occurrence of postoperative pain. The shift to completely atraumatic fixation using adhesives (fibrin glue, cyanoacrylate) began in the early part of this century. Several studies confirmed less postoperative pain after mesh fixation by glue compared to stapler or tacker. Historically, the TEP technique has always been performed without any fixation. Several studies comparing fixation versus non-fixation have been performed in TEP repair and found results with no increase in recurrence rate. Notwithstanding that very few studies comparing fixation versus no fixation with exclusion of large medial inguinal hernias have been published on this topic in TAPP repair, identical results to those with TEP repair were obtained. On the basis of current evidence, no mesh fixation is recommended for laparo-endoscopic inguinal hernia repair except for large medial and combined inguinal hernias. If mesh fixation is required, atraumatic techniques should be used.

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Effect of direct defect closure during laparoscopic inguinal hernia repair (“TEP/TAPP plus” technique) on post-operative outcomes

Usmani

Wijerathne

Malik

et al. 2019

Hernia

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Long-term follow-up of endoscopic totally extraperitoneal direct inguinal hernia repair using the Endoloop technique

Cited by 3 publications

References 35 publications

Quality-of-Life Post-TEP Inguinal Hernia Repair with Fibrin Sealant Polyester Mesh Fixation

Quality-of-Life Post-TEP Inguinal Hernia Repair with Fibrin Sealant Polyester Mesh Fixation

Is mesh fixation in TAPP and TEP still necessary?

Effect of direct defect closure during laparoscopic inguinal hernia repair (“TEP/TAPP plus” technique) on post-operative outcomes

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