World Journal of Laparoscopic Surgery

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VOLUME 11 , ISSUE 1 ( January-April, 2018 ) > List of Articles

ORIGINAL ARTICLE

Preoperative Infraumbilical Anthropometry: A Selective Guide to Endoscopic Hernia Repair—A Pilot Study

De Utpal, Pronoy Kabiraj

Keywords : Anthropometry, Endoscopy, Hernia, Treatment

Citation Information : Utpal D, Kabiraj P. Preoperative Infraumbilical Anthropometry: A Selective Guide to Endoscopic Hernia Repair—A Pilot Study. World J Lap Surg 2018; 11 (1):8-11.

DOI: 10.5005/jp-journals-10007-1326

License: CC BY-NC 4.0

Published Online: 01-12-2018

Copyright Statement:  Copyright © 2018; The Author(s).


Abstract

Introduction: Specific preoperative indications for endoscopic hernia repair are nonexistent. The study was aimed to examine the feasibility of preoperative infraumbilical anthropometry (PIA) as a guide to define endoscopic repair. Materials and methods: Forty-five patients were recruited for the study based on predefined inclusion and exclusion criteria. Preoperative anthropometric measurements (fixed bony points of pelvis and umbilicus) were done. All patients were subjected to total extraperitoneal repair (TEP). Failure of TEP was converted to transabdominal preperitoneal repair (TAPP) and reasons for conversion were noted and statistically analyzed. Results: A total of 33 patients underwent TEP (73.3%) and 12 (26.7%) patients had to be converted to TAPP. Raised body mass index (BMI) [mean 22.53, standard deviation (SD) 0.35, p < 0.001], increased infraumbilical fat pad thickness (mean 2.77 cm, SD 0.27, p < 0.00), and pelvic anthropometric parameters were found to be significant (p < 0.001). Conclusion: Preoperative pelvic anthropometry could be a selective guide to endoscopic hernia repair.


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  1. Köckerling F, Bittner R, Jacob DA, Seidelmann L, Keller T, Adolf D, Kraft B, Kuthe A. TEP versus TAPP: comparison of the perioperative outcome in 17,587 patients with a primary unilateral inguinal hernia. Surg Endosc 2015 Dec;29(12): 3750-3760.
  2. McCormack K, Wake BL, Fraser C, Vale L, Perez J, Grant A. Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia 2005 May;9(2): 109-114.
  3. Bracale U, Melillo P, Pignata G, Di Salvo E, Rovani M, Merola G, Pecchia L Which is the best laparoscopic approach for inguinal hernia repair: TEP or TAPP? A systematic review of the literature with a network meta-analysis. Surg Endosc 2012 Dec;26(12):3355-3366.
  4. Cohen RV, Alvarez G, Roll S, Garcia ME, Kawahara N, Schiavon CA, Schaffa TD, Pereira PR, Margarido NF, Rodrigues AJ. Transabdominal or totally extraperitoneal laparoscopic hernia repair. Surg Laparosc Endosc 1998 Aug;8(4):264-268.
  5. Belyansky I, Tsirline VB, Klima DA, Walters AL, Lincourt AE, Heniford TB. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg 2011 Nov;254(5):709-714.
  6. Shah NR, Mikami DJ, Cook C, Manilchuk A, Hodges C, Memark VR, Volckmann ET, Hall CR, Steinberg S, Needleman B, et al. A comparison of outcomes between open and laparoscopic surgical repair of recurrent inguinal hernias. Surg Endosc 2011 Jul;25(7):2330-2337.
  7. Choi YY, Han SW, Bae SH, Kim SY, Hur KY, Kang GH. Comparison of the outcomes between laparoscopic totally extraperitoneal repair and prolene hernia system for inguinal hernia; review of one surgeon's experience. J Korean Surg Soc 2012 Jan;82(1):40-44.
  8. Schouten N, Elshof JW, Simmermacher RK, van Dalen T, de Meer SG, Clevers GJ, Davids PH, Verleisdonk EJ, Westers P, Burgmans JP. Selecting patients during the “learning curve” of endoscopic Totally Extraperitoneal (TEP) hernia repair. Hernia 2013 Dec;17(6):737-743.
  9. Wimsey S, Pickard R, Shaw G. Accurate scaling of digital radiographs of the pelvis A prospective trial of two methods. J Bone Joint Surg Br 2006 Nov;88(11):1508-1512.
  10. Ekerson JM, Stout JR, Evetovich TK, Housh TJ, Johnson GO, Worrell N. Validity of self assessment technique for estimating percentage fat in men and women. J Strength Cond Res 1998 Nov;12(4):243-247.
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