Open versus laparoscopic repair of inguinal hernia: an overview of systematic reviews of randomised controlled trials

Haladu, Nafi'u; Alabi, A; Brazzelli, Miriam; Imamura, Mari; Ahmed, Ibrar; Ramsay, George; Scott, Norman

doi:10.1007/s00464-022-09161-6

Cited by 36 publications

(20 citation statements)

References 33 publications

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“…There were no major complications reported, although the one patient with a prolonged stay secondary to a chest infection had a femoral hernia. Mean length of stay was 1.7 days (1-5) for under 60s and 3.5 for over 60s (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). There were no conversions to open surgery.…”

Section: Case Seriesmentioning

confidence: 99%

“…Minimal access surgery brings well recognised benefits of less post operative pain, earlier return to function, and in regards to groin hernias may bring lower chronic groin pain with comparable recurrence rates (4,5). A recent meta-analysis of 35 RCTs confirmed these benefits in inguinal hernias, but again failed to demonstrate a benefit in terms of long-term recurrence rates (6).…”

Section: Introductionmentioning

confidence: 99%

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The Utility of Minimally Invasive Surgery in the Emergency Management of Femoral Hernias: A Systematic Review

Shuttleworth¹,

Sabri²,

Mihailescu³

2023

J. Abdom. Wall Surg.

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Background: Femoral hernias are a relatively rare type of hernia but have a high complication rate, with a high proportion either presenting as an emergency or requiring emergency management. Minimal access surgery has been shown to be safe, with good results, in an elective setting, but there is little published evidence of its utility in an emergency.Methods: A systematic review was conducted searching PubMed, OVID, Embase, and Cochrane reviews for ((Femoral hernia) AND (laparoscop* OR minimal access OR robotic)) AND (strangulat* OR obstruct* OR incarcerat*).Results: 286 manuscripts were identified of which 33 were relevant. 24 were individual case reports, 3 case series, 4 cohort studies or case control series, and 2 high level reviews of National registers.Conclusion: Minimal access surgery can avoid an unnecessary laparotomy for the assessment of hernial contents, especially via a TAPP approach. Minimal access repair of femoral hernias as an emergency is feasible and can be done safely with results similar to open surgery but good quality evidence is lacking.

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Section: Case Seriesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Utility of Minimally Invasive Surgery in the Emergency Management of Femoral Hernias: A Systematic Review

Shuttleworth¹,

Sabri²,

Mihailescu³

2023

J. Abdom. Wall Surg.

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“…Оперативні втручання з приводу пахвинних гриж виконують щорічно понад 20 мільйонам пацієнтів у всьому світі [1]. Пахвинна грижа діагностується до 27 % у чоловіків та до 3 % у жінок [2]. Більшість цих пацієнтів звертаються за медичною допомогою у перші кілька років через біль, який є основним симптомом.…”

Section: вступunclassified

A Feature of Laparoscopic Treatment of Irreducible and Large Inguinal Hernias

Bulyk¹,

Shkarban²,

Bondaryev³

2022

Khark. Surg. Sch.

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Summary. Introduction. The inguinal hernia is one of the most common surgical problems around the world. Patients with large inguinal and inguinal hernias are a certain group. At present, there are no final convincing evidence of the advantage of laparoscopic hernia repair of complex forms of inguinal hernias, indications and contraindications to various methods of this operation, the technology of performing surgical interventions for various types of complex inguinal hernias has not been completed. Aim. Perform perioperative complications in surgical treatment of unrecognizable and large inguinal hernias with laparoscopic modified TAPP method, classic Laparoscopic TEP laparoscopic technique and inguinal canal plastic according to Lichtenstein. Materials and methods. Surgical treatment of 42 patients with unrecognizable and large inguinal hernias was performed. All of them were performed incapacitated plastic with the use of a prone grid. In 12 patients, the Lichtenstein (Lichtenstein group) was performed, 18 patients with a modified technique (TAPP group) and 12 — TEP (TEP group). Modification was a high resection of the hernia sac in patients with inguinal-callous hernia, and the techniques of digestion of the peritoneum with a fixed gut in cases where the intestine is tightly fictoned in a large length to the peritoneum in the area of the hernia sac. Results of the research. Application in the performance of transabdominal preperitoneal hernia repair of the technique of high resection of the hernia sac in patients with inguinal-potassium hernia, and methods Surgery, reduce the frequency of hematoma and inflammatory processes in the TAPP surgery area is likely (p < 0.05), and reduce the number of conversions in the TAPP group. Conclusions. Diagnostic laparoscopy is a necessary highly informative stage of diagnosis and determination of surgical tactics for complex types of inguinal hernias. Laparoscopic hernia repair of complex forms of inguinal hernias is a method of choice, which provides low trauma, asepticity, good conditions for wound healing. Modified technique of transabdominal preperitoneal hernia repair of complex inguinal hernias, which reduced the trauma of the operation and thus reduce intra and postoperative complications that are manifested by the formation of hematoma and inflammatory processes in the surgery.

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“…The risk factors proposed to be related to chronic pain include the experience of the surgeon, surgery for recurring hernia, nerve injury, mesh implantation, type of surgery, psychosocial factors, presence of preoperative pain, patients’ age, early-onset pain after surgery, and ischemia [ 8 , 9 ]. A recent study found a lower incidence of chronic inguinal pain after laparoscopic repair than after open hernia repair [ 10 ]. Although laparoscopic repair is related to a lower incidence of chronic pain, open repair remains the common technique of choice.…”

Section: Introductionmentioning

confidence: 99%

Cytomorphological Effects of Lightweight and Heavyweight Polypropylene Mesh on the Ilioinguinal Nerve: An Experimental Study

Yağız¹,

Esen²,

Akyol³

et al. 2023

Cureus

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This study aimed to investigate the cytomorphological effects of heavyweight and lightweight mesh on the ilioinguinal nerve in an experimental animal model. MethodsSixteen New Zealand male rabbits were included in the study. The left inguinal regions of the first six animals were assigned as controls and the right inguinal regions were assigned as the sham group. The left inguinal regions of the remaining 10 animals were assigned as the lightweight mesh group and the right inguinal regions were assigned as the heavyweight mesh group. No intervention was performed in the control group. In the sham group, only ilioinguinal nerve exploration was performed. In mesh groups, ilioinguinal nerve exploration was performed and the mesh was implanted on the ilioinguinal nerve. After three months, ilioinguinal nerve specimens were excised from both sides for cytomorphological examination. ResultsMyelin sheath thickening, separation of the myelin layers, and myelin vacuolization were more pronounced in the heavyweight mesh group compared to the lightweight mesh group. The G-ratio was moderately increased in the heavyweight mesh group when compared to other groups. The ratio of fibers with ≤4 µm diameter was higher in the lightweight mesh group compared to other groups, and the ratio of fibers with ≥9 µm diameter was higher in the heavyweight mesh group than in the other groups (p<0.05). ConclusionBoth of the meshes induce cytomorphological alterations on the adjacent nerve tissues caused by foreign body reaction and compression. Ilioinguinal nerve degeneration was more pronounced in the heavyweight mesh than in the lightweight mesh. Histological alterations on the ilioinguinal nerves caused by different meshes may be related to chronic pain after hernia surgery. We believe our study will serve as a guide for future studies on the topic.

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Open versus laparoscopic repair of inguinal hernia: an overview of systematic reviews of randomised controlled trials

Cited by 36 publications

References 33 publications

The Utility of Minimally Invasive Surgery in the Emergency Management of Femoral Hernias: A Systematic Review

The Utility of Minimally Invasive Surgery in the Emergency Management of Femoral Hernias: A Systematic Review

A Feature of Laparoscopic Treatment of Irreducible and Large Inguinal Hernias

Cytomorphological Effects of Lightweight and Heavyweight Polypropylene Mesh on the Ilioinguinal Nerve: An Experimental Study

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