Rare Intraoperative and Postoperative Complications After Transabdominal Laparoscopic Hernia Repair: Results from the Multicenter Wall Hernia Group Registry

Sartori, Alberto; Luca, Maurizio De; Noaro, Giulia; Piatto, Giacomo; Pignata, Giusto; Leo, Alberto Di; Lauro, Enrico; Andreuccetti, Jacopo

doi:10.1089/lap.2020.0459

Cited by 10 publications

(8 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Potential causes encompass herniation at the trocar insertion site, intestinal adhesions, and incarceration through a prior hernia defect. In this case, we present an instance of post-TAPP intestinal obstruction accompanied by edema and retraction of surgical wounds [ 14 ]. Potential causes may be attributed to suture material or technique, which after pneumoperitoneum and ambulation may have disrupted the peritoneum.…”

Section: Discussionmentioning

confidence: 99%

An Unusual Postoperative Complication Following Bilateral Inguinal Hernioplasty: A Pocket Hernia Case Report

Lozano-Carrillo,

Meléndez-Mondragón,

Alvarez-Lozada

et al. 2024

Cureus

View full text Add to dashboard Cite

Inguinal hernias are the most common type of hernias in the groin, affecting 27% of the population, with a nine to 12 times higher incidence in men. The primary treatment for this condition typically involves a surgical procedure, with most surgeons opting for mesh placement through a laparoscopic approach. While this procedure is generally associated with low complication rates (primarily hematomas, seromas, and scrotal edema), there are some highly infrequent complications reported such as postoperative small bowel obstruction (SBO), estimated to occur in approximately 0.1%-0.5% of cases, most commonly during transabdominal preperitoneal (TAPP) repair. It is crucial to emphasize the importance of using skilled surgical techniques and adhering to established guidelines in postoperative patient care to minimize the risk of these complications. We describe a case of a 47-year-old male patient who underwent bilateral TAPP repair for inguinal hernias and subsequently experienced postoperative complications, including the development of a hematoma and SBO, requiring a re-intervention that evidenced a peritoneal pocket hernia.

show abstract

Section: Discussionmentioning

confidence: 99%

An Unusual Postoperative Complication Following Bilateral Inguinal Hernioplasty: A Pocket Hernia Case Report

Lozano-Carrillo,

Meléndez-Mondragón,

Alvarez-Lozada

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

“…1 La presencia de comorbilidades y tamaño del defecto herniario son facto-res correlacionados con las complicaciones postoperatorias que con frecuencia precisan reintervención. 4 Los factores de riesgo de requerir un manejo quirúrgico de forma temprana incluyen obstrucción en asa cerrada, evidencia de isquemia intestinal por tomografía computarizada, obstrucción de intestino delgado recurrente, datos de irritación peritoneal o síndrome de respuesta inflamatoria sistémica. 1 El cierre adecuado del peritoneo durante el procedimiento inicial con atención especial a los detalles es indispensable para evitar hernias preperitoneales posterior a TAPP.…”

Section: Discussionunclassified

Hernia interna del intestino delgado a través de defecto peritoneal posterior a reparación de hernia inguinal con técnica TAPP

Yeghiazaryan¹,

González-Urquijo²,

González-Ruvalcaba³

et al. 2023

Cirujano General

View full text Add to dashboard Cite

show abstract

“…[11] Initially, the minimally invasive approach for treating inguinal hernias was hindered by the technical difficulties and a long learning curve associated with an operation that could be performed anteriorly with excellent results, especially for primary hernias [9,10]. Moreover, this distrust of the minimally invasive approach was initially fueled by the risk of significant complications: visceral lesions during TAPP and vascular lesions during TEP [1,3]. However, as of today, the International Guidelines published by the Hernia Surge Group have demonstrated the safety of the laparoendoscopic approach for inguinal hernias, especially concerning complications, and the results in terms of postoperative pain and recurrences are substantially comparable to groin hernia repair performed anteriorly [1].…”

Section: Discussionmentioning

confidence: 99%

“…However, in 9 regions, this increase was not significant, considering the whole period and the first five years without analyzing the 2020 data (Valle d'Aosta, Trentino, Veneto, Liguria, Umbria, Abruzzo, Molise, Basilicata and Calabria). Furthermore, many regions showed the same annual intervention rate (AIR = 0), while the maximum was registered in Trentino (3).…”

Section: Regional Datamentioning

confidence: 97%

“…The high incidence of the disease has made groin hernia repair the most widely performed surgery today, with about 20 million operations per year. About 1.6 million visits are made each year in the United States for problems related to inguinal-crural hernias; the lifetime risk of developing an inguinal hernia is approximately 27–43% in males and 3–6% in females [ 3 , 4 ]. The initial indications for treating inguinal hernias by laparoendoscopic approach were recurrences after the anterior approach and bilateral inguinal hernias, thus reducing the scope of this approach [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Nationwide analysis of laparoscopic groin hernia repair in Italy from 2015 to 2020

et al. 2022

Self Cite

View full text Add to dashboard Cite

Since its introduction, the minimally invasive treatment of groin hernias has become widely accepted as a viable alternative to open surgery. Still, the rates and reasons for its adoption vary highly among countries and the regions within a country. After almost thirty years since its introduction, its spread is still limited. The present study, conducted under the auspices of AGENAS (Italian National Agency for Regional Services), aims at giving a snapshot of the spreading of minimally invasive and robotic techniques for the treatment of groin hernia in Italy. This study is retrospective, with data covering the period from 1st January 2015 to 31st December 2020. AGENAS provided data using the operation and diagnosis codes used at discharge and reported in the International Classification of Diseases 9th revision (ICD9 2002 version). Admissions performed on an outpatient basis, i.e., without an overnight stay of at least one night in hospital, were excluded. A total of 33,925 laparoscopic hernia repairs were performed during the considered period. Overall, a slight increase in the number of procedures performed was observed from 2015 to 2019, with a mean annual change of 8.60% (CI: 6.46–10.74; p < 0.0001). The number of laparoscopic procedures dropped in 2020, and when considering the whole period, the mean annual change was − 0.98% (CI: − 7.41–5.45; p < 0.0001). Urgent procedures ranged from 335 in 2015 to 508 in 2020 referring to absolute frequencies, and from 0.87% to 9.8% in relative frequencies of overall procedures in 2017 and 2020, respectively (mean = 4.51%; CI = 3.02%–6%; p < 0.001). The most relevant observation that could be made according to our analysis was that the adoption of the laparoscopic approach knew a slow but steady increase from 2015 onward.

show abstract

Rare Intraoperative and Postoperative Complications After Transabdominal Laparoscopic Hernia Repair: Results from the Multicenter Wall Hernia Group Registry

Cited by 10 publications

References 41 publications

An Unusual Postoperative Complication Following Bilateral Inguinal Hernioplasty: A Pocket Hernia Case Report

An Unusual Postoperative Complication Following Bilateral Inguinal Hernioplasty: A Pocket Hernia Case Report

Hernia interna del intestino delgado a través de defecto peritoneal posterior a reparación de hernia inguinal con técnica TAPP

Nationwide analysis of laparoscopic groin hernia repair in Italy from 2015 to 2020

Contact Info

Product

Resources

About