Inguinal hernia TAPP repair using Senhance® robotic platform: first multicenter report from the TRUST registry

Hernia ◽  
2021 ◽  
Author(s):  
N. E. Samalavicius ◽  
A. Dulskas ◽  
A. Sirvys ◽  
V. Klimasauskiene ◽  
V. Janusonis ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Robotic Platform ◽  
Tapp Repair

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.

scholarly journals Transabdominal preperitoneal repair using barbed sutures for bilateral inguinal hernia in liver cirrhosis with ascites

2019 ◽  
Vol 2019 (6) ◽  
Author(s):  
Masakazu Ohuchi ◽  
Noriyuki Inaki ◽  
Kunihiko Nagakari ◽  
Shintaro Kohama ◽  
Kazuhiro Sakamoto ◽  
...  
Keyword(s):  
Liver Cirrhosis ◽  
Inguinal Hernia ◽  
Preperitoneal Repair ◽  
Lichtenstein Repair ◽  
Bilateral Inguinal Hernia ◽  
Effective Treatment Option ◽  
Barbed Sutures ◽  
Transabdominal Preperitoneal ◽  
Tapp Repair ◽  
Peritoneal Closure

Abstract The appropriate surgical treatment for inguinal hernia in patients with liver cirrhosis and ascites remains controversial. A 79-year-old male undergoing treatment for Child–Pugh B hepatitis C-induced liver cirrhosis and hepatocellular carcinoma complicated with bilateral inguinal hernia underwent transabdominal preperitoneal (TAPP) repair. During surgery, barbed sutures were used to facilitate appropriate peritoneal closure. His postoperative course was uneventful. Information on TAPP repair for inguinal hernia in patients with liver cirrhosis and ascites is limited. The International Guidelines for Inguinal Hernia Management recommend Lichtenstein repair for patients with ascites. TAPP repair requires peritonectomy via a posterior endoscopic approach; therefore, proper peritoneal closure is important to prevent the leakage of ascitic fluid. Herein, TAPP repair was safely and successfully completed using barbed sutures to achieve proper and strong peritoneal closure. TAPP repair using barbed sutures can be an effective treatment option for patients with liver cirrhosis and ascites.

scholarly journals Prospective comparison of post-operative quality of life (QOL) after laparoscopic total extra-peritoneal (TEP) and trans-abdominal pre-peritoneal (TAPP) repair of indirect inguinal hernia

2018 ◽  
Vol 5 (8) ◽  
pp. 2882
Author(s):  
Nikita Wadhwani ◽  
Ishwar Chand Mehar ◽  
Arun Singh ◽  
R. K. Soni
Keyword(s):  
Quality Of Life ◽  
Inguinal Hernia ◽  
P Value ◽  
Indirect Inguinal Hernia ◽  
Statistical Significant Difference ◽  
Tapp Repair ◽  
Significant Difference ◽  
Operative Quality

Background: As the laparoscopic method is becoming a popular choice of repair, the need to evaluate its impact on the patient’s quality of life (QOL) is also warranted. This study was undertaken to compare post operative QOL in patients undergoing Totally Extraperitoneal (TEP) and Transabdominal preperitoneal (TAPP) repair for indirect inguinal hernia.Methods: This prospective observational study was conducted in the Department of General Surgery at VMMC and Safdarjung Hospital, from June 2016 to March 2018. Patients with uncomplicated indirect inguinal hernia were included in the study after obtaining their informed consent. Post-operative QOL was evaluated using EuraHS-QOL scale at 24 hours and 1, 3 and 6 months after the surgery.Results: A total of sixty patients were enrolled-30 in TEP group and 30 in TAPP group. There was no statistical significant difference in scores at 24 hours follow-up except cosmetic discomfort domain, with higher scores in TAPP (p-value=0.014). Statistical significant difference was present at 1 month follow up with higher scores in TAPP (p-value=0.011). At 3 and 6 months, no statistical difference was found in the scores.Conclusions: Present study demonstrates a significant advantage of TEP over TAPP up to 1-month follow-up, in terms of post-operative QOL. Choosing a superior laparoscopic method between TEP and TAPP requires high powered RCTs with long term follow up to assess the technical advantages and post-operative complications along with post-operative quality of life in patients.

scholarly journals Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair Using Memory-Ring Mesh: A Pilot Study

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Takeshi Matsutani ◽  
Tsutomu Nomura ◽  
Nobutoshi Hagiwara ◽  
Akihisa Matsuda ◽  
Yoshimune Takao ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Operation Time ◽  
Indirect Inguinal Hernia ◽  
Trocar Site ◽  
Transabdominal Preperitoneal ◽  
Tapp Repair ◽  
Inguinal Hernias

Purpose.To evaluate the feasibility, safety, and effectiveness of laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair using a memory-ring patch (Polysoft™mesh).Patients and Methods.Between April 2010 and March 2013, a total of 76 inguinal hernias underwent TAPP repair using Polysoft mesh in 67 adults under general anesthesia. Three different senior resident surgeons performed TAPP repair under the instruction of a specialist surgeon. Nine patients had bilateral hernias. The 76 hernias included 37 indirect inguinal hernias, 29 direct hernias, 1 femoral hernia, 1 pantaloon hernia (combined direct/indirect inguinal hernia), and 8 recurrent hernias after open anterior hernia repair. The immediate postoperative outcomes as well as the short-term outcomes (mainly recurrence and incidence of chronic pain) were studied.Results.There was no conversion from TAPP repair to anterior open repair. The mean operation time was 109 minutes (range, 40–132) for unilateral hernia repair. Scrotal seroma was diagnosed at the operation site in 5 patients. No patient had operation-related orchitis, testicle edema, trocar site infection, or chronic pain during follow-up.Conclusions.The use of Polysoft mesh for TAPP inguinal hernia repair does not seem to adversely affect the quality of repair. The use of this mesh is therefore feasible and safe and may reduce postoperative pain.

scholarly journals Early results of laparoscopic repair for recurrent inguinal hernia by Trans-Abdominal Pre-Peritoneal (TAPP)

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Viêt Khánh Lê ◽  
Keyword(s):  
Inguinal Hernia ◽  
Hospital Stay ◽  
Laparoscopic Repair ◽  
Research Group ◽  
Operating Time ◽  
Surgical Site Infections ◽  
Control Group ◽  
Recurrent Inguinal Hernia ◽  
Tapp Repair ◽  
Early Results

Tóm tắt Đặt vấn đề: Đánh giá kết quả của phẫu thuật nội soi đặt lưới trước phúc mạc, đường vào qua phúc mạc (Trans-Abdominal Pre-Peritoneal: TAPP) điều trị thoát vị bẹn tái phát và so sánh với phương pháp Lichtenstein Phương pháp nghiên cứu: Nhóm nghiên cứu: 11 người bệnh (NB) (nam) được thực hiện phẫu thuật TAPP điều trị thoát vị bẹn tái phát sau mổ mở; nhóm chứng: 8 người bệnh thoát vị bẹn tái phát được thực hiện phẫu thuật Kết quả: Các đặc điểm về tuổi, chỉ số khối cơ thể (BMI), số bệnh lý kèm theo, đường kính cổ bao thoát vị và thời gian tái phát của người bệnh giữa 2 nhóm có sự tương đồng; ở nhóm phẫu thuật TAPP thời gian phẫu thuật dài hơn (TAPP 103,6 và Lich 86,9 phút, p = 0,223); thời gian sử dụng giảm đau sau mổ ngắn hơn (TAPP 1,9 và Lich 2,8 ngày, p = 0,009); thời gian nằm viện ngắn hơn (TAPP 4,2 và Lich 5,9 ngày, p = 0,009); thời gian trở lại công việc sớm hơn (TAPP 19,2 và Lich 26,0 ngày, p = 0,035); nhóm nghiên cứu không có biến chứng trong khi nhóm chứng có 2 trường hợp nhiễm trùng vết mổ và 2 trường hợp đau sau mổ. Kết luận: Phẫu thuật TAPP có hiệu quả tốt trong điều trị thoát vị bẹn tái phát sau mổ mở, sau mổ người bệnh ít đau hơn, giảm thời gian nằm viện, giảm biến chứng sau mổ Abstract Introduction: This study is to evaluate the early results of laparoscopic repair with mesh hernia by Trans-Abdominal Pre-Peritoneal (TAPP) compared with Lichtenstein Materials and Methods: 11 male patients were reoperated with TAPP repair for the recurrent inguinal hernia after open repair enrolled in research group; Control group including 8 patients were reoperated with Lichtenstein technique. Results: The characteristics of patients such as ages, body mass index (BMI), comorbid pathologies, size of neck of the inguinal sac and the recurrent times were similar in both groups; in research group, the operating time was longer (TAPP 103,6 vs Lich 86,9 mins, p=0,223) however the time for pain medication used was shorter (TAPP 1,9 vs Lich 2,8 days, p=0,009), the length of hospital stay was shorter (TAPP 4,2 vs Lich 5,9 days, p=0,009) than control group; in research group, there were no postoperative complication while in control group, there were two patients with postoperative surgical site infections, and two patients with postoperative pains. Conclusion: TAPP repair is an effective option for the treatment of recurrent inguinal hernia; shorter hospital stay, less pains as well as complications. Keywords: Recurrent inguinal hernia, TAPP, Lichtenstein

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