Utilization of laparoscopic and open inguinal hernia repair at a large hernia center in China: a single-center observational study

Ma, Qiuyue; Liu, Xiaoli; Yang, Huiqi; Li, Gu; Chen, Jie

doi:10.1007/s00464-022-09624-w

Cited by 1 publication

(2 citation statements)

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“…However, in the hands of an experienced surgeon, TAPP has fewer post-operative complications and recurrence so it became the primary Laparoscopic Inguinal Hernia repair (LIHR) in many specialized centers. 1,[4][5][6][7][8] Surgeons are challenged with an increasingly complex patient population that is frequently overweight of growing obesity epidemic. It is known that obesity increase morbidity and mortality in general population and therefore is perceived as a risk factor for perioperative complications.…”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11] The association between obesity and inguinal hernia occurrence and postoperative complications is still a matter of debate as a lot of surgeons have demonstrated a protective effect of obesity on the occurrence of primary groin hernia while others have described an association in linear form between obesity and higher risks of postoperative complications and recurrence rate following IHR, so that, the increasing obesity around the world necessitates a reassessment of TAPP in obese patients. 1,6 The current study's goals are to evaluate how obesity impacts an appropriate inguinal hernia management plan and to assess TAPP postoperative outcomes in obese patients.…”

Section: Introductionmentioning

confidence: 99%

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Feasibility of Transabdominal Preperitoneal Laparoscopic Inguinal Hernia Repair in Obese Male Patients

Baz,

Abd El-Azim,

Ibraim

2023

Ain Shams Journal of Surgery

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Introduction: Inguinal hernia repair (IHR) is one of the most commonly performed operations by general surgeons. The transabdominal preperitoneal (TAPP) procedure became the primary IHR in many specialized centers. Surgeons are challenged by the increasing prevalence of obesity around the world, which necessitates a reassessment of TAPP in obese patients. The current study's goals are to evaluate how obesity impacts an appropriate inguinal hernia management plan and to assess TAPP postoperative outcomes in obese patients.Patients and methods: Patients undergoing elective minimally invasive TAPP inguinal hernia repair in our hospital, were included from January 2021 to January 2022. And distributed into two groups according to BMI (Above and below 30). Data of interest were the patient demographics, the body mass index (BMI), smoking history, hernia type, and perioperative outcomes.Results: A total of 40 male patients were included in the present analysis, of whom 20 (50%) were obese with an average BMI of 43.69 and 20 (50%) were non-obese with an average BMI of 25.29. Operative time was equivalent between the compared groups, with intraoperative events rates being higher in the non-obese group 5% versus 2.5% in the obese group, although this finding did not attain statistical significance p = 0.5. The length of hospital stay was marginally longer in the obese subgroup (36.5 hours versus 31.75 in the non-obese subgroup), with the finding being statistically significant p=0.003. Conclusion:Obese patients can benefit from TAPP laparoscopic inguinal hernia repair in a manner similar to those who are not obese.

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