World Journal of Laparoscopic Surgery

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VOLUME 8 , ISSUE 3 ( September-December, 2015 ) > List of Articles

REVIEW ARTICLE

Efficacy and Safety of Laparoscopic Inguinal Hernia Repair

Michael Angelo L Suñaz

Citation Information : Suñaz MA. Efficacy and Safety of Laparoscopic Inguinal Hernia Repair. World J Lap Surg 2015; 8 (3):81-84.

DOI: 10.5005/jp-journals-10033-1253

Published Online: 01-12-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background

Inguinal hernia results from a defect or weakness in the muscles in the inguinal region, through which the peritoneum protrudes, forming the sac. One of the most common operations that general surgeons perform to repair this defect is inguinal herniorrhaphy. Laparoscopic herniorrhaphy started being performed when laparoscopic cholecystectomy has shown definite benefits over the open technique. However, laparoscopic hernia repair is an advanced laparoscopic procedure and has a longer learning curve.4

Objectives

(1) To evaluate the efficacy and safety of three laparoscopic hernia repair techniques: Transabdominal preperitoneal (TAPP), totally extraperitoneal (TEP), and intraperitoneal onlay mesh (IPOM). (2) Specifically, this review aims to: (a) Determine which laparoscopic technique has lowest recurrence rate, (b) determine which laparoscopic technique has the least perioperative complications.

Materials and methods

The database used in this study was PubMed and MeSH. Search terms included: laparoscop*, inguinal, hernia, repair, TAPP, TEP and IPOM. Study designs included in this study were prospective clinical studies, and retrospective clinical studies.

Results

All three laparoscopic techniques had complication rates comparable to those of the open techniques. However, recurrence rates after laparoscopic repair was much lower. IPOM, although technically the easiest procedure to perform among the three laparoscopic techniques, is associated with the highest risk of adhesion formation and the lowest tensile strength. In comparison, the TEP and the TAPP techniques had the advantages of better tissue incorporation and tensile strength.

Conclusion

Laparoscopic inguinal herniorrhaphy is an effective method to correct an inguinal hernia but is not without complications nor risk for recurrences. The TAPP, IPOM, and TEP procedures appear to be equally effective. Training, experience, and proper operative technique will prevent some of these complications.

How to cite this article

Suñaz MAL. Efficacy and Safety of Laparoscopic Inguinal Hernia Repair. World J Lap Surg 2015;8(3):81-84.


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