Should peritoneal tears be routinely closed during laparoscopic total extraperitoneal repair of inguinal hernias? A reappraisal

Abstract

These data demonstrate that PTs do not have to be routinely closed and the majority of cases may be safely managed without peritoneal closure. We have not observed any intra- or postoperative complications that could be attributed to peritoneal tears.

Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery

“…In their comparative study, Khoury et al found that patients who underwent TEP received less narcotic analgesic than those underwent TAPP and were discharged more frequently on the operative day [20]. Although the choice is not based on any solid scientific data, most surgeons prefer open repair or TAPP in complicated cases, including incarcerated hernias, very large scrotal hernias, and for patients who have undergone previous lower abdominal surgery or pelvic surgeries such as radical prostatectomy [21,22]. Moreover, some surgeons claim that previous radical prostatectomy should contraindicate a laparoscopic approach because of the associated scarring in the preperitoneal space [23].…”

Feasibility and safety of total extraperitoneal inguinal hernia repair after previous lower abdominal surgery: a case–control study

“…Several researchers have reported that it is feasible for experienced hands to perform TEP hernia repair for patients with a previous lower abdominal operation [10][11][12]. The clinical setting of an inguinal hernia after previous lower abdominal surgery is not very frequent, precluding any attempt to conduct an ideal clinical trial.…”

Relaparoscopy as an alternative to laparotomy for laparoscopic complications

“…Als Ursache zeigt sich dann oftmals ein Hineinrutschen von Darmanteilen in Peritonealdefekte. Vor diesem Hintergrund wird die Notwendigkeit eines konsequenten Verschlusses solcher Peritonealdefekte diskutiert [43].…”