Citation Information :
Van Nguyen P, Dao MQ, Van Ha Q, Van Pham T, Van Nguyen T, Tran TQ, Tran AT, Vu SN, Van Nguyen H. Laparoscopic Totally Extraperitoneal Repair Using Three-dimension Mesh to Treat Bilateral Inguinal Hernia in Adults. World J Lap Surg 2021; 14 (3):195-200.
Aim: This study is aimed to examine the effectiveness of laparoscopic totally extraperitoneal (TEP) repair using three-dimension (3D) mesh to treat bilateral inguinal hernia in adults.
Materials and methods: We conducted case series on 50 patients with bilateral inguinal hernias undergoing laparoscopic TEP surgery using 3D mesh at Thanh Nhan Hospital from January 2017 to June 2019.
Results: Of 50 patients, 66.0% of patients had a direct inguinal hernia and 34.0% of patients had an indirect inguinal hernia. The diameter of the herniated hole was mainly from 1.5 to 3 cm in 84.0% of patients. There were 82% of patients using small 3D mesh (8.5 × 13.7 cm) and one case required mesh fixation (2.0%). Seven patients (14.0%) had complications during surgery. The average postoperative pain time was 2.2 ± 1.5 days (1–15 days). Pain degree decreased gradually from day 1 to day 3. By day 3 after surgery, 94% of patients had only slight pain, two patients (4.0%) had mild pain, and one patient (2.0%) had moderate pain. All patients were followed for a mean of 21.4 ± 11.8 months (minimum 1 month, maximum 40 months). At 1 month postoperative, there was one patient with chronic pain in the groin (2.1%). After 6, 12, and 24 months, no recurrence was recorded.
Conclusion: TEP laparoscopic surgery using 3D mesh is a safe, feasible, and effective method in bilateral inguinal hernia in adults, with low rates of complications and recurrence.
Talha AR, Shabban A, Ramadan R. Preperitoneal versus Lichtenstein tension-free hernioplasty for the treatment of bilateral inguinal hernia. Egypt J Surg 2015;34(2):79–84. DOI: 10.4103/1110-1121.155715.
Gass M, Rosella L, Banz V, et al. Bilateral total extraperitoneal inguinal hernia repair (TEP) has outcomes similar to those for unilateral TEP: population-based analysis of prospective data of 6,505 patients. Surg Endosc 2012;26(5):1364–1368. DOI: 10.1007/s00464-011-2040-3.
Ger R. The Management of certain abdominal hernias by intra-abdominal closure of the neck. Ann R Coll Surg Engl 1982;64(5): 342–344. PMID: 7114772.
Mir IS, Rashid T, Mir IN, et al. Laparoscopic totally extraperitoneal repair of inguinal hernia using three-dimensional mesh: a 5 years experience at a tertiary care hospital in Kashmir, India. Int Surg J 2018;5(3):1016–1020. DOI: 10.18203/2349-2902.isj20180822.
Hanif Z, Sajid MA, Kumaran RP, et al. Modification of standard laparoscopic total extra peritoneal hernia repair technique: methods to improve feasibility in the UK health service. Int J Surg Open 2017;9:45–47. DOI: 10.1016/j.ijso.2017.10.001.
Krishna A, Bansal VK, Misra MC, et al. Totally extraperitoneal repair in inguinal hernia: more than a decade's experience at a tertiary care hospital. Surg Laparosc Endosc Percutan Tech 2019;29(4):247–251. DOI: 10.1097/SLE.0000000000000682.
Chowbey PK, Garg N, Sharma A, et al. Prospective randomized clinical trial comparing lightweight mesh and heavyweight polypropylene mesh in endoscopic totally extraperitoneal groin hernia repair. Surg Endosc 2010;24(12):3073–3079. DOI: 10.1007/s00464-010-1092-0.
Poobalan AS, Bruce J, Smith WCS. A review of chronic pain after inguinal herniorrhaphy. Clin J Pain 2003;19(1):48–54. DOI: 10.1097/00002508-200301000-00006.
Bell RCW, Price JG. Laparoscopic inguinal hernia repair using an anatomically contoured three-dimensional mesh. Surg Endosc 2003;17(11):1784–1788. DOI: 10.1007/s00464-002-8763-4.
Wauschkuhn CA, Schwarz J, Boekeler U, et al. Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2,800 patients in comparison to literature. Surg Endosc 2010;24(12):3026–3030. DOI: 10.1007/s00464-010-1079-x.
Lal P, Philips P, Chander J, et al. Is unilateral laparoscopic TEP inguinal hernia repair a job half done? The case for bilateral repair. Surg Endosc 2010;24(7):1737–1745. DOI: 10.1007/s00464-009-0841-4.
Pfeffer F, Riediger H, Lein RK, et al. Repair of bilateral inguinal hernias: sequential or simultaneous? Zentralbl Chir 2008;133:446–451. DOI: 10.1055/s-2008-1076959.
Patel KH, Gohel JB, Patel BJ. Managing bilateral inguinal hernia laparoscopically: is it gold standard? Int Surg J 2017;4(1):296–299. DOI: 10.18203/2349-2902.isj20164458.
Acar A, Kabak I, Tolan HK, et al. Comparison between mesh fixation and non-fixation in patients undergoing total extraperitoneal inguinal hernia repair. Niger J Clin Pract 2020;23(7):897–899. DOI: 10.4103/njcp.njcp_398_19.
Köckerling F, Schug-Pass C, Adolf D, et al. Bilateral and unilateral total extraperitoneal inguinal hernia repair (tep) have equivalent early outcomes: analysis of 9395 cases. World J Surg 2015;39(8):1887–1894. DOI: 10.1007/s00268-015-3055-z.
Ayyaz M, Farooka MW, Malik AA, et al. Mesh fixation vs. non-fixation in total extra peritoneal mesh hernioplasty. JPMA 2015;65(3):270–272. PMID: 25933559.
Thảo TV. Nghiên cứu ứng dụng phẫu thuật nội soi đặt mảnh ghép hoàn toàn ngoài phúc mạc trong điều trề thoát về bẹn: Học viện Quân Y; 2010.
Hanada K, Narita M, Goto K, et al. Chronic inguinal pain after laparoscopic intraperitoneal onlay mesh (IPOM) repair for inguinal hernia treated successfully with laparoscopic selective neurectomy: a case report. Int J Surg Case Rep 2017;38:172–175. DOI: 10.1016/j.ijscr.2017.07.044.