Repeat Laparoscopic Totally Extraperitoneal Hernia Repair After Primary Laparoscopic Totally Extraperitoneal Hernia Repair for Inguinal Hernia

2011 ◽  
Vol 21 (3) ◽  
pp. 233-235 ◽  
Author(s):  
Hiroki Uchida ◽  
Toshifumi Matsumoto ◽  
Yuichi Endo ◽  
Tetsuya Kusumoto ◽  
Yoichi Muto ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Totally Extraperitoneal ◽  
Totally Extraperitoneal Hernia Repair

scholarly journals Totally extraperitoneal inguinal hernia repair versus Lichtenstein repair: a one-year follow-up study

2021 ◽  
Author(s):  
H. O. Havrylov ◽  
O. V. Shulyarenko
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Lightweight Mesh ◽  
Lichtenstein Repair ◽  
Totally Extraperitoneal ◽  
Totally Extraperitoneal Hernia Repair ◽  
Group 2 ◽  
One Year ◽  
Group 1

The inguinal hernia has an incidence of 27 — 43 % in males. Surgical repair is the most accepted treatment to prevent the development of complications. Laparoscopic inguinal hernia repair has become popular worldwide and includes the use of a laparoscopic technique for mesh placement behind the defect. Objective — to assess whether totally extraperitoneal (TEP) inguinal hernia repair shows benefits over Lichtenstein repair in intraoperative and one‑year follow‑up postoperative outcomes for male patients with primary unilateral inguinal hernia. Materials and methods. 53 males were randomly allocated to two groups. Group 1 included 27 patients who underwent totally extraperitoneal hernia repair using self‑gripping lightweight mesh, and group 2 included 26 patients who were treated surgically with Lichtenstein repair using lightweight mesh. Results. Both groups were comparable in mean age, type of hernia, body mass index and patient’s distribution according to the European hernia society classification. TEP repair takes on average a little less time as compared to Lichtenstein repair, and this difference is not statistically significant. The mean of visual analogue scale for pain scoring in the first 24 hours after surgery as well as in the next 24 hours is statistically significantly smaller in group 1 compared to group 2. The mean time taken to return to work was 2.15 times longer in group 2 than in group 1, and the difference was statistically significant. Conclusions. Totally extraperitoneal hernia repair shows potential benefits over Lichtenstein repair for primary unilateral inguinal hernias as it causes less pain in the postoperative period and ensures early return to work.  

The preperitoneal loop in inguinal hernia repair following the totally extraperitoneal technique

Hernia ◽  
2010 ◽  
Vol 14 (4) ◽  
pp. 361-367 ◽  
Author(s):  
F. Mainik ◽  
G. Quast ◽  
R. Flade-Kuthe ◽  
A. Kuthe ◽  
F. Schroedl
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Totally Extraperitoneal

scholarly journals A New Proposal for Learning Curve of TEP Inguinal Hernia Repair: Ability to Complete Operation Endoscopically as a First Phase of Learning Curve

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Mustafa Hasbahceci ◽  
Fatih Basak ◽  
Aylin Acar ◽  
Orhan Alimoglu
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Inguinal Hernia Repair ◽  
Exact Nature ◽  
Conversion To Open Surgery ◽  
Totally Extraperitoneal ◽  
Surgeon Experience ◽  
Repair Ability ◽  
Complete Operation

Background. The exact nature of learning curve of totally extraperitoneal inguinal hernia and the number required to master this technique remain controversial.Patients and Methods. We present a retrospective review of a single surgeon experience on patients who underwent totally extraperitoneal inguinal hernia repair.Results. There were 42 hernias (22 left- and 20 right-sided) in 39 patients with a mean age of48.8±15.1years. Indirect, direct, and combined hernias were present in 18, 12, and 12 cases, respectively. The mean operative time was55.1±22.8minutes. Peritoneal injury occurred in 9 cases (21.4%). Conversion to open surgery was necessitated in 7 cases (16.7%). After grouping of all patients into two groups as cases between 1–21 and 22–42, it was seen that the majority of peritoneal injuries (7 out of 9, 77.8%,P=0.130) and all conversions (P=0.001) occurred in the first 21 cases.Conclusions. Learning curve of totally extraperitoneal inguinal hernia repair can be divided into two consequent steps: immediate and late. At least 20 operations are required for gaining anatomical knowledge and surgical pitfalls based on the ability to perform this operation without conversion during immediate phase.

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