Crossing mesh tails in the Lichtenstein repair method for medial (direct) inguinal hernia: recurrence and chronic pain rates after five years

Hernia ◽  
2021 ◽  
Author(s):  
A. Sahin ◽  
E. Ölcucuoglu ◽  
H. Kulacoglu
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Recurrence ◽  
Lichtenstein Repair ◽  
Direct Inguinal Hernia ◽  
Repair Method

scholarly journals Effect of Early Return to Work After Laparoscopic Total Extraperitoneal Hernia Repair: a Retrospective Comparative Cohort Study

2021 ◽  
Author(s):  
Ting-En Tai ◽  
An-Chi Chou ◽  
Ching-Che Lin ◽  
Chih-Kuan Wu ◽  
Yao-Chou Tsai
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Return To Work ◽  
Recurrence Rate ◽  
Hernia Recurrence ◽  
Early Group ◽  
Early Return ◽  
Total Extraperitoneal ◽  
Late Group

Abstract BackgroundThis study compares the outcomes of early and late return to work after laparoscopic total extraperitoneal inguinal hernia repair (TEP).MethodsBetween March 2008 and December 2019, we reviewed 506 cases who underwent laparoendoscopic total extraperitoneal hernia repair (TEP). Of these, 231 cases, who returned to work within one week after surgery, were classified as the early group, and 275 cases, who had no job or returned to work after longer than one week, were classified as the late group. Primary endpoint is inguinal hernia recurrence. Secondary endpoints were post-operative chronic inguinal pain, which is defined as persistent pain 6 months after operation, seroma formation, and modified medical outcome study (MOS) score. Results The two groups had comparable baseline characteristics, except the early group were younger (51±13.1 vs. 58.2±15.9, p<0.001) and had less constipation risk before operation (10.0% vs. 18.5%, p=0.006). The early return to work group did not increase inguinal hernia recurrence rate (1.7% versus 2.9%, p=0.386). Furthermore, the early group is associated with significant less chronic pain (4.8% versus 11.6%, p=0.006). There is no difference in post-operative seroma formation or MOS scores between early and late group.Conclusion Patients who underwent laparoscopic TEP hernia repair and returned to work within one week did not show increased hernia recurrence rate or complications. Besides, early return to work was associated with significant less chronic pain. Early return to work after TEP repair is safe and feasible. Patients are encouraged to return to work earlier after TEP.

scholarly journals Telephone survey of inguinal hernia repair patients older than 5 years for chronic pain

2018 ◽  
Vol 5 (6) ◽  
pp. 2045
Author(s):  
Didem Baskın Embleton ◽  
Ahmet A. Tuncer ◽  
Salih Çetinkurşun
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Telephone Survey ◽  
Small Sample ◽  
Hernia Surgery ◽  
Old Patients ◽  
Direct Inguinal Hernia ◽  
Inguinal Hernia Surgery

Background: Little is known about chronic pain in the inguinal region following inguinal hernia repair in children. A study was conducted to examine whether pain is an important complication of inguinal hernia surgery in children.Methods: A telephone survey was performed of former patients who had undergone inguinal hernia repair and are now older than 5 years. A questionnaire was prepared and the questions were asked by paediatric surgeons.Results: There were 66 former patients now older than 5 years old. Patients had inguinal hernia repair at between 11 days and 14 years of age (mean 3.24 years). Age during telephone survey was between 5 and 18 years (mean 7.48 years). One patient had late pain related to direct inguinal hernia occurrence (1.5%). Three patients described non-specific abdominal pain unrelated to the inguinal operation. None of the patients were taking painkillers.Conclusions: Although this is a small sample group, chronic pain does not seem to be a serious problem after inguinal hernia repair in children.

scholarly journals A comparative study of outcomes of Lichtenstein repair and Desarda tissue repair in patients of inguinal hernia

2017 ◽  
Vol 4 (8) ◽  
pp. 2693
Author(s):  
Probal Neogi ◽  
Vivek Gupta ◽  
Neeraj Tripathi
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Foreign Body ◽  
Tissue Repair ◽  
Tertiary Care ◽  
Foreign Body Sensation ◽  
Lichtenstein Repair ◽  
Primary Inguinal Hernia ◽  
Post Operative Pain ◽  
Body Sensation

Background: Inguinal hernia is a very common surgical problem for which, mesh-based techniques, particularly the Lichtenstein repair is considered standard. However, problems like foreign body sensation, wound infection, cord fibrosis, chronic pain and recurrence are major concern. Desarda tissue repair (non-mesh technique), which was given by an Indian surgeon, is now being used in many countries because of low cost of procedure with very low recurrence rates. The objective of this study was to evaluate the feasibility of Desarda tissue repair at a tertiary care centre of Central India as a treatment of primary inguinal hernia, by comparing it with Lichtenstein repair in terms of various post-operative parameters.Methods: Patients between age of 18 and 70 years with primary inguinal hernia were included in this randomised controlled trial. Patients with strangulated, obstructed or recurrent hernia, surgically unfit patients and patients having unmanaged urinary obstruction, cough or constipation were excluded. Randomization was done by sealed envelope method into Lichtenstein and Desarda arm and respective surgeries were performed.Results: 90 patients were included in the study and average duration of follow-up was 15.1 months. Operative time was significantly less in Desarda arm (14.75 min compared to 21.32 min in Lichtenstein arm). Cost, incidence of seroma formation, post-operative pain, foreign body sensation and chronic pain were also significantly less in Desarda arm. No recurrence was observed in both arms.Conclusions: Desarda repair is easy to perform and takes less time to perform and proves cost effective. Desarda repair is comparable to Lichtenstein repair in terms of many parameters and superior in terms of post-operative pain and foreign body sensation and can be preferred for young patients. In infected and strangulated cases, Desarda repair can be used effectively without fear of mesh infection.

Laparoscopic repair of inguinal hernia: Prospective evaluation at a tertiary care center

2020 ◽  
Vol 23 (2) ◽  
pp. 54-58
Author(s):  
ABM Mahbubur Rahman ◽  
Tamjeed Alam ◽  
AHM Shamsul Alam ◽  
Fahim Ferdaus ◽  
Gazi Gias Uddin
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Groin Hernia ◽  
Tertiary Care ◽  
Groin Hernia Repair ◽  
Groin Hernias ◽  
Laparoscopic Groin Hernia Repair ◽  
Repair Techniques

Background: Treatment of groin hernias continues to evolve. The emergence of laparoscopic inguinal hernia surgery has challenged the conventional gold standard Lichtenstein’s tension free mesh repair. Laparoscopic technique to achieve surgical correction over groin hernia is increasingly being practiced in our country, and it is imperative to test the overall outcome of this technique in a tertiary care setting. Objectives: Current study was aimed at evaluating the per-operative events, early and late outcomes of laparoscopic groin hernia repair techniques. End points of evaluation were postoperative pain, hospital stay, resumption of normal activities, chronic pain and recurrence. Methods: Within a 2-year period, 45 patients of groin hernias of different clinical types underwent laparoscopic inguinal hernia repair in Bangladesh Medical College Hospital were recruited in this prospective observational study. Preoperative findings, intraoperative course, postoperative and follow-up data were analyzed to evaluate the outcomes. Observations were made regarding operating time, operative hazards, postoperative pain, incidence of early post-operative morbidities, hospital stay, resumption of activities. Total 24 months follow-up was carried out with regards to normal activity, late complications notably chronic groin pain and recurrence. Results: The mean age of 38.1±11.1 years, 27(60%) patients underwent TEP repair whereas, TAPP procedure was carried out in 18 patients (40%). For unilateral hernia repair using TEP technique, mean operative time was 50.3±4.2 mints and 61.7±5.3 mints for direct and indirect variety (D/I), with the corresponding rates for TAPP repair being 65.0±2.2 mints and 72.8±3.2 mints (D/I) respectively. Conversion rate to other operative procedure was 6.67%. The overall surgery related early post-operative morbidity was 7.4% (TEP) and 16.8% (TAPP). 3 out of 45 patients (6.67%) experienced chronic pain in the groin in the study. However, there was no single incidence of recurrence observed during the follow up period. Conclusion: Laparoscopic groin hernia repair techniques are safe and feasible, offers the benefits of minimally invasive surgery and becoming the procedure of choice specially for bilateral and recurrent inguinal hernias. Journal of Surgical Sciences (2019) Vol. 23(2): 54-58

LAPAROSCOPIC TRANS-ABDOMINAL PRE-PERITONEAL (TAPP) REPAIR FOR TREATMENT INGUINAL HERNIA DISEASE

2018 ◽  
Vol 8 (4) ◽  
pp. 76-80
Author(s):  
Thao Nguyen Minh ◽  
Vu Pham Anh ◽  
Tri Nguyen Huu ◽  
Phu Nguyen Doan Van ◽  
Phuc Nguyen Thanh ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Operative Time ◽  
Bilateral Hernia ◽  
Repair Method ◽  
Tapp Repair ◽  
Post Operation ◽  
Average Operative Time ◽  
The Mean

Background: Inguinal hernia is one of the commonest surgical diseases and there are many different techniques applied. The laparoscopic trans-abdominal pre-peritoneal (TAPP) repair allows a better view of the inguinal anatomy, evaluation of opposite side and resolve combined peritoneal diseases as well. Patient and method: The study included 60 cases with inguinal hernia that have been treated by laparoscopic transabdominal pre-peritoneal (TAPP) repair. Method: Description, prospective follow-up. Result: The mean age was 58±18.2. 96.7% were males. The average operative time was 45.6±15.1 minutes for one side hernia, 73±25.2 minutes for bilateral hernia. 02 cases have been post-operation inguinal seroma complication (3.3%), 02 cases with hydrocele (3.3%), 01 case with abdominal seroma (1.7%). 04 cases (6.7%) opposite inguinal hernia were detected and 05 cases (8.3%) with combined diseases were resolved. Duration of post-operative stay was 3.9±1.1 days. Conclusion: TAPP is a safe and feasible procedure, allows evaluation of opposite side and resolve combined peritoneal diseases.

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