The feasibility and safety of single-incision totally extraperitoneal inguinal hernia repair after previous lower abdominal surgery: 350 procedures at a single center

Wakasugi, Masaki; Suzuki, Yozo; Tei, Mitsuyoshi; Anno, Kana; Mikami, Tsubasa; Tsukada, Ryo; Koh, Masahiro; Furukawa, Katsunori; Masuzawa, Toru; Kutsukake, Kentaro; Tanemura, Masahiro; Akamatsu, Hiroki

doi:10.1007/s00595-016-1376-7

Cited by 12 publications

(28 citation statements)

References 14 publications

(14 reference statements)

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“…). Of 11 full‐text articles assessed for eligibility, seven studies were included in the qualitative and quantitative data synthesis, involving a total of 1657 hernia repairs (PS 326, NS 1331). Studies excluded after full‐text review are summarized in Table S1 (supporting information).…”

Section: Resultsmentioning

confidence: 99%

“…All studies were either prospective or retrospective comparative cohort studies. Three of seven studies stated clearly that hernia incarceration was an exclusion criterion. In another study, it was stated that a single case of incarceration was included.…”

Section: Resultsmentioning

confidence: 99%

“…The remaining three studies did not provide any data concerning whether the hernia was reducible. With the exception of one study in which single‐port TEP repair was performed, all remaining studies used the multiport approach.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the type of previous surgery, three studies included all types of lower abdominal surgery, one other study included all types of surgery except previous inguinal hernia repair, one included all types of previous surgery apart from radical prostatectomy, and the remaining two studies included only patients with previous open appendicectomy or radical prostatectomy respectively. Mean follow‐up ranged from 1·5 to 25 months ( Table ).…”

Section: Resultsmentioning

confidence: 99%

“…Previous lower abdominal surgery is often considered a relative contraindication to TEP repair, as access to the preperitoneal space may be challenging when scar tissue from previous interventions is encountered. Nonetheless, the feasibility and safety of TEP repair in patients with a history of lower abdominal surgery remains inconclusive. The aim of this study was to perform a meta‐analysis of trials comparing the feasibility and safety of TEP inguinal hernia repair in patients with (PS, previous surgery group) and without (NS, no previous surgery group) a history of lower abdominal surgery.…”

Section: Introductionmentioning

confidence: 99%

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Meta-analysis of totally extraperitoneal inguinal hernia repair in patients with previous lower abdominal surgery

Prassas

Rolfs²,

Knoefel

et al. 2019

British Journal of Surgery

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Background: Previous lower abdominal surgery is considered a relative contraindication to laparoscopic totally extraperitoneal (TEP) inguinal hernia repair. This was a meta-analysis of studies comparing the feasibility and safety of TEP repair between patients with (PS), and without (NS) a history of lower abdominal surgery. Methods: A systematic literature search was undertaken for studies comparing the outcome of TEP inguinal hernia repair in patients with, and without previous lower abdominal surgery. Data on postoperative outcomes were extracted and compared by meta-analysis. Odds ratios (ORs) and mean differences with 95 per cent confidence intervals were calculated.Results: Seven comparative cohort studies were identified, involving a total of 1657 procedures (PS 326, NS 1331). There was a statistically significant difference between PS and NS favouring the NS group with regard to both primary outcomes: intraoperative morbidity (OR 2⋅85, 95 per cent c.i. 1⋅19 to 6⋅80; P = 0⋅02; 7 studies; I 2 = 33 per cent), and postoperative morbidity in the multiport subgroup (OR 2⋅14, 1⋅28 to 3⋅58; P = 0⋅004; 5 studies; I 2 = 0 per cent). For the secondary endpoints conversion rate, peritoneal tears, major intraoperative bleeding, postoperative haematoseroma and delay in return to normal activities, there was a statistically significant difference favouring the NS group.Conclusion: This study suggests that patients with previous lower abdominal surgery who need hernia repair get less benefit from TEP repair than those with no history of surgery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%