Novel Transabdominal Preperitoneal Hernioplasty Technique for Recurrent Inguinal Hernia: Overlapping of Whole Posterior Wall with Newly Added Mesh and Pre-Existing Mesh by Closing Hernia Defect

Introduction: Laparoscopic inguinal hernia repair is a tension-free mesh repair that is based on pre-peritoneal approach of repair. It provides mechanical advantage to the surgeon, by being able to place a large piece of mesh and by using the natural force of the abdominal wall to disperse the intra-abdominal pressure over a large area to support the mesh. This retrospective study is aimed to study the demography of inguinal hernia and to compare operating time, complications and postoperative pain between patients undergoing Total Extrapritoneal (TEP) or Transabdominal Preperitoneal (TAPP) repair.Methods: A retrospective comparative study was conducted in patients with inguinal hernia who underwent laparoscopic repair by either TEP or TAPP, between April 2019 to July 2020 at Nobel Medical Collage Teaching Hospital, Biratnagar, Morang. Age, sex, type of hernia, duration of operation, post-operative complications, severity of pain and duration hospital stay were analyzed between two groups of patients undergoingsurgery by either TEP or TAPP.Results: One hundred and five patients underwent either TEP or TAPP during study period. There were 96 males and 9 females. There were 50 patients with right, 40 with left and 6 patients with bilateral inguinal hernia. Four patients had left sided irreducible inguinal hernia, 2 patients had bilateral recurrent inguinal hernia, 2 patients had right sided recurrent inguinal hernia and 1 patient had left sided recurrent inguinal hernia.There was significant difference in duration of operation (TEP 64.43min) / (TAPP 84.46min), p<0. 001. Total duration of hospital stay and postoperative pain were not significant between patients operated with TEPor TAPP. Accidental pneumoperitoneum was noticed in 8 cases, 10 cases of subcutaneous emphysema, 5 cases of seroma and 1 case of scrotal hematoma in TEP group. In TAPP group scrotal hematoma occurred in 4 cases and seroma in 5 cases which was not significantly different from TEP group.Conclusion: TAPP had significantly longer operating time as compared to TEP. However, there was no significant difference in post-operative pain and hospital stay in both group.

Download Full-text

EVALUATION OF LAPAROSCOPIC, TRANSABDOMINAL, PREPERITONEAL MESH REPAIR FOR RECURRENT INGUINAL HERNIA

Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) ◽

10.3919/jjsa.70.368 ◽

2009 ◽

Vol 70 (2) ◽

pp. 368-374

Author(s):

Takeshi MATSUTANI ◽

Masayuki MIYAMOTO ◽

Ken YANAGI ◽

Hiroshi MARUYAMA ◽

Akira MATSUSHITA ◽

...

Keyword(s):

Inguinal Hernia ◽

Mesh Repair ◽

Recurrent Inguinal Hernia ◽

Transabdominal Preperitoneal

Download Full-text

A rare case report of bilateral recurrent inguinal hernia due to persistent Müllerian duct syndrome treated by transabdominal preperitoneal repair

Medicine ◽

10.1097/md.0000000000019079 ◽

2020 ◽

Vol 99 (7) ◽

pp. e19079 ◽

Cited By ~ 2

Author(s):

Kan Tanabe ◽

Shinichiro Mori ◽

Yoshiaki Kita ◽

Masumi Wada ◽

Baba Kenji ◽

...

Keyword(s):

Case Report ◽

Inguinal Hernia ◽

Rare Case ◽

Recurrent Inguinal Hernia ◽

Preperitoneal Repair ◽

Transabdominal Preperitoneal ◽

Transabdominal Preperitoneal Repair ◽

Persistent Mullerian Duct Syndrome ◽

Rare Case Report ◽

Duct Syndrome

Download Full-text

A Comparison of Outcomes between Lichtenstein and Laparoscopic Transabdominal Preperitoneal Hernioplasty for Recurrent Inguinal Hernia

The American Surgeon ◽

10.1177/000313481808401134 ◽

2018 ◽

Vol 84 (11) ◽

pp. 1774-1780 ◽

Cited By ~ 1

Author(s):

Bin Yang ◽

Shengning Zhou ◽

Yingru Li ◽

Jianan Tan ◽

Shuang Chen ◽

...

Keyword(s):

Inguinal Hernia ◽

Intraoperative Complications ◽

Incidence Rates ◽

Laparoscopic Technique ◽

Recurrent Inguinal Hernia ◽

Complication Rates ◽

Transabdominal Preperitoneal ◽

Inguinal Hernias ◽

Significant Difference

There remain concerns about the optimal technique for repairing recurrent inguinal hernias because of the high risks of complications and recurrence. The aim of this study was to compare Lichtenstein hernioplasty with the transabdominal preperitoneal (TAPP) laparoscopic technique in the treatment of recurrent inguinal hernias. One hundred twenty-two patients who underwent surgery for recurrent inguinal hernia were prospectively randomized to receive either Lichtenstein (n = 63) or TAPP (n = 59) hernioplasty between January 2010 and December 2014. Baseline characteristics, intraoperative complications, and short- and long-term postoperative factors were evaluated. Preoperative factors were comparable between the two groups. The average follow-up period was 46.2 ± 8.5 months. The two groups had similar intraoperative and short-term postoperative complication rates, whereas the rate of long-term postoperative complications was lower for the TAPP group than the Lichtenstein group (6.8% vs 23.8%, respectively, P = 0.012). The TAPP group had significantly lower visual analogue scale scores, fewer analgesics consumption, and faster recovery than the Lichtenstein group ( P < 0.05). Chronic pain was more prevalent in the Lichtenstein group than the TAPP group (15.9% vs 3.4%, respectively, P = 0.031). The recurrence rate was 4.8 per cent for the Lichtenstein group and 1.7 per cent for the TAPP group, with no significant difference ( P = 0.62). Both the Lichtenstein and TAPP procedures are safe and effective methods for repairing recurrent inguinal hernia with low incidence rates of life-threatening complications and recurrence. The TAPP procedure is superior to the Lichtenstein repair in terms of reduced postoperative pain, shorter sick leave, faster recovery, and better cosmetic results. Careful selection of the surgical procedures and implementation of technical essentials are necessary.

Download Full-text