World Journal of Laparoscopic Surgery

Register      Login

VOLUME 11 , ISSUE 3 ( September-December, 2018 ) > List of Articles

RESEARCH ARTICLE

Factors Guarantee Competence of Laparoscopic Repair of Inguinal Hernia

Amr Elheny, Khaled Mahran, Abdel F Saleh

Keywords : Inguinal hernia, Laparoscopic, Minia

Citation Information : Elheny A, Mahran K, Saleh AF. Factors Guarantee Competence of Laparoscopic Repair of Inguinal Hernia. World J Lap Surg 2018; 11 (3):124-127.

DOI: 10.5005/jp-journals-10033-1353

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim: To evaluate the impact of age, type of hernia, size of the mesh used, and fixation of the mesh on the competence of laparoscopic repair of inguinal hernia. Materials and methods: Randomized controlled clinical study carried out from November 2016 to July 2017 in 98 patients with inguinal hernias admitted to surgery Department of Minia University Hospital. Patients were divided into two groups randomly. Group I includes 49 patients who underwent laparoscopic transabdominal preperitoneal (TAPP) hernioplasty and group II includes 49 patients who underwent laparoscopic totally extra peritoneal (TEP) hernioplasty with and without fixation of the mesh. Results: Operative time in group I ranges between 40 minutes and 110 minutes with mean time of about 66.85 minutes, while in group II ranges between 20 minutes and 105 minutes with mean time of about 52.65 minutes. This difference was statistically significant. Pain was 8.2% in group I and 10.2% in group II. Scrotal edema was 0% in all patients in both groups. Urinary retention was 2% in group I and 4.1% in group II. Seroma was the same (6.1%) in both groups. Recurrence after 6-month follow-up was 2% in both groups. All recurrent cases are nonfixed. Conclusion: There is no difference between TEP and TAPP, but TAPP technique appears to be superior to the TEP repair in patients undergoing unilateral inguinal hernia repair. Clinical significance: The TEP approach can be offered to patients with bilateral and recurrent hernias. TEP procedure was associated with more adverse events during surgery but less postoperative pain, faster recovery of daily activities, quicker return to work, and less impairment of sensibility after 1 year.


PDF Share
  1. Campanelli G, Canziani M, et al. Inguinal hernia: state-of-the art. Int J Surg 2008;6(Suppl 1):S26–S28. DOI: 10.1016/j.ijsu.2008.12.021.
  2. van Wessem KJ, Simons MP, et al. The etiology of indirect inguinal hernias: congenital and/or acquired hernia? Hernia 2003;7(2):76–79. DOI: 10.1007/s10029-002-0108-7.
  3. McCormack K, Scott NW, et al. EU Hernia Trialists collaboration. laparoscopic techniques vs open techniques for inguinal hernia repair. Cochrane Database Syst Rev 2003;1:CD001785.
  4. Kuhry E, van Veen RN, et al. Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc 2007;21(2):161–166. DOI: 10.1007/s00464-006-0167-4.
  5. Quilici PJ, Greaney Jr EM, et al. Laparoscopic inguinal hernia repair: optimal technical variations and results in 1700 cases. Am Surg 2000;66(9):848–852.
  6. Fazzio FJ. Cost effective, reliable, laparoscopic hernia repair: a report on 500 consecutive repair. Surg Endues 2002;16(6):931–935. DOI: 10.1007/s004640080073.
  7. Takata MC, Duh QY. Laparoscopic inguinal hernia repair. Surg Clin North Am 2008;88(1):157–178. DOI: 10.1016/j.suc.2007.10.005.
  8. Hamza Y, Gabr E, et al. Four-arm randomized trial comparing laparoscopic and open hernia repairs. Int J Surg 2010;8(1):25–28. DOI: 10.1016/j.ijsu.2009.09.010.
  9. Kumar B. Surgical options in inguinal hernia: Which is the best? J MAS 2006;4:191–200.
  10. Bittner R. Laparoscopic Surgery—15 Years After Clinical Introduction. World J Surg 2006;30(7):1190–1203. DOI: 10.1007/s00268-005-0644-2.
  11. Bay-Nielson M, Nilsson E, et al. Chronic pain after open mesh and sutured repair of indirect inguinal hernia in young males. Br J Surg 2004;91(10):1372–1376. DOI: 10.1002/bjs.4502.
  12. Kapiris SA, Brough WA, et al. Laparoscopic transadominal preperitoneal (TAPP) hernia repair. Surg Endosco 2001;15(9):972–975. DOI: 10.1007/s004640080090.
  13. Sievers D, Barkhausen S, et al. Laparoscopic transperitoneal inguinal hernia repair (TAPP)—complications and results of a prospective study. Langenbecks Arch Chir Suppl Kongressbd 1997;114: 1116–1118.
  14. Soltés M, Pazinka P, et al. Laparoscopic hernioplasty TAPP in treatment of groin hernia—10 years experience. Rozhl Chir 2010;89(6):384–389.
  15. Hussain A, Nicholls J, et al. Technical tips following more than 2000 transabdominal preperitoneal (TAPP) repair of the groin hernia. Surg Laparosc Endosc Percutan Tech 2010;20(6):384–388. DOI: 10.1097/SLE.0b013e3182006845.
  16. Bátorfi J. The treatment of inguinofemoral hernias with laparoscopic herniorraphy. Our experience of 1210 transabdominal preperitoneal (TAPP) reconstructions. Magy Seb 2005;58(6):385–397.
  17. Wilhelm W, Vassiliadis N, et al. Optimization of perioperative management in laparoscopic hernioplasty. Anaesthesist 2008;57(9):915–925. DOI: 10.1007/s00101-008-1402-2.
  18. Taylor C, Layani L, et al. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial. Surg Endosc 2008;22(3):757–762. DOI: 10.1007/s00464-007-9510-7.
  19. Garg P, Rajagopal M, et al. Laparoscopic total extraperitoneal inguinal hernia repair with nonfixation of the mesh for 1692 hernias. Surg Endosc 2009;23:1241–1245. DOI: 10.1007/s00464-008-0137-0.
  20. Mulroy MF. Hernia surgery, anesthetic technique, and urinary retention-apples, oranges, and kumquats? Reg Anesth Pain Med 2002;27(6):587–589. DOI: 10.1097/00115550-200211000-00008.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.