Prospective non-randomized comparison of open versus laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair under different anesthetic methods

Symeonidis, Dimitrios; Baloyiannis, Ioannis; Koukoulis, Georgios; Pratsas, K.; Georgopoulou, Stavroula; Efthymiou, Mattheos; Tzovaras, George

doi:10.1007/s00595-013-0805-0

Cited by 21 publications

(23 citation statements)

References 21 publications

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“…An objective evaluation of chronic pain is difficult, partly because there is no definition of chronic pain for VIHR, which is in contrast to inguinal hernia repair, in which chronic pain is defined as pain lasting over 6 months postoperatively in the International Guidelines of Chronic Pain for Inguinal Hernias [50]. The recent literature [11,12,51] using this definition described the incidence of chronic pain after sIPOM to be in the range of 1.3-14.7 %, which was much higher than that after laparoscopic inguinal hernia repair [52,53]. Therefore, the postoperative pain of IPOM-Plus and sIPOM should be evaluated and compared.…”

Section: Chronic Painmentioning

confidence: 81%

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

2015

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The laparoscopic technique for repairing ventral and incisional hernias (VIH) is now well established. However, several issues related to laparoscopic VIH repair, such as the high recurrence rate for hernias with large fascial defects and in extremely obese patients, are yet to be resolved. Additional problems include seroma formation, mesh bulging/eventration, and non-restoration of the abdominal wall rigidity/function with only bridging of the hernial orifice using standard laparoscopic intraperitoneal onlay mesh repair (sIPOM). To solve these problems, laparoscopic fascial defect closure with IPOM reinforcement (IPOM-Plus) has been introduced in the past decade, and a few studies have reported satisfactory outcomes. Although detailed techniques for fascial defect closure and handling of the mesh have been published, standardized techniques are yet to be established. We reviewed the literature on IPOM-Plus in the PubMed database and identified 16 reports in which the recurrence rate, incidence of seroma formation, and incidence of mesh bulging were 0-7.7, 0-11.4, and 0 %, respectively. Several comparison studies between sIPOM and IPOM-Plus seem to suggest that IPOM-Plus is associated with more favorable surgical outcomes; however, larger-scale studies are essential.

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Section: Chronic Painmentioning

confidence: 81%

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

2015

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“…The EU Hernia Trialists Collaboration has stated in several reports that greater chronic postoperative pain occurs after AA than after TAPP, although none of these reports provide information about early postoperative pain 9) . The reports by Symeonidis et al 4) and Mahon et al 5) are representative of early postoperative pain reports, although there are a few other reports stating that there is less postoperative pain after AA than TAPP, based on the result of the frequency of analgesic use, Visual Analogue Scale (VAS), and the number of days required for rehabilitation into society. Certainly, it is highly likely that the frequency of use of analgesics and the number of days taken to reintegrate are directly related to the pain experienced.…”

Section: Discussionmentioning

confidence: 99%

“…Compared to AA, postoperative pain after TAPP is usually reported to be less intense 4)5) ; however, there was no comparative study about the current perception threshold (CPT) between the two surgical techniques. Scale Severity of pain 1 No pain on coughing or sneezing 2 No pain on movement, but pain on coughing or sneezing 3 No pain at rest, but pain on movement 4 Cannot sleep without pain killer…”

Section: Introductionmentioning

confidence: 99%

Prospective Study of Postoperative Pain Following Adult Inguinal Hernia Repair by Transabdominal Preperitoneal Approach Versus Anterior Approach

Hisatsune

Koizumi

Otsubo

et al. 2017

J St. Marianna Univ

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Abstract[Objective] We performed a prospective comparative study of early postoperative pain in adult patients with inguinal hernia treated by the transabdominal preperitoneal approach (TAPP) or the anterior approach (AA).[Patients and Methods] The participants comprised 89 adult patients with inguinal hernia operated on from August 2015 to March 2017. The patients were divided into two groups, the TAPP group (n=46) and the AA group (n=43). We assessed the intensity of postoperative pain using the current perception threshold (CPT) measured by a perceptual pain sensation analyzer (PainVision PS-2100; Sanyo Seiko, Yamanashi, Japan). We measured the minimum perceived current and pain-compatible current (PCC) preoperatively and calculated the innate pain intensity (IPI). Postoperatively, we measured the wound PCC, calculated the wound pain intensity (WPI), calculated the adjusted wound pain intensity (AWPI) from the IPI and WPI, and compared postoperative pain in the two groups based on the surgical technique used.[Results] The AWPI values were 193.2 ± 27.9 and 200.4 ± 32.9 in the TAPP and AA groups, respectively, on postoperative day (POD) 1 (P=0.86), then 160.0 ± 23.5 and 138.7 ± 17.1, respectively, on POD 2 (P=0.47), with no significant differences observed.[Conclusion] We observed no significant difference in the intensity of pain measured by PainVision between the TAPP and AA groups during early postoperative period.

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“…It also facilitates faster mobilization and earlier discharge/fulfillment of discharge criteria from post anesthetic care units than other anesthetic techniques [11,12]. On the other hand, in a very recent prospective non-randomized study, Symeonidis and colleagues reported that transabdominal preperitoneal repair under spinal anesthesia was superior to open repair performed under different types of anesthesia in terms of immediate postoperative (24-h) pain [13]. However, repairs with spinal anesthesia resulted in a higher rate of urinary retention which could be eliminated by LA.…”

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confidence: 99%

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Prospective non-randomized comparison of open versus laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair under different anesthetic methods

Cited by 21 publications

References 21 publications

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

Closure versus non-closure of fascial defects in laparoscopic ventral and incisional hernia repairs: a review of the literature

Prospective Study of Postoperative Pain Following Adult Inguinal Hernia Repair by Transabdominal Preperitoneal Approach Versus Anterior Approach

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