scholarly journals Performing total extraperitoneal inguinal hernia repair in patients with previous abdominal surgery is safe: an analysis of 1591 patients

2021 ◽  
Vol 108 (Supplement_4) ◽  
Author(s):  
H Merker ◽  
J Slieker ◽  
S Soppe ◽  
A Keerl ◽  
A Nocito
Keyword(s):  
Inguinal Hernia ◽  
Abdominal Surgery ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Odds Ratio ◽  
Univariate Analysis ◽  
Significant Risk ◽  
Increased Risk ◽  
Total Extraperitoneal ◽  
Operation Duration

Abstract Objective The safety of endoscopic total extraperitoneal inguinal hernia repair (TEP) in patients who previously underwent open lower abdominal surgery has been discussed for many years, since operative difficulties can be expected due to adhesions and scarring. Some research has been done in this area, most of which ask for further studies to be conducted. The aim of this study was to assess the safety and feasibility of TEP in patients with previous lower abdominal surgery (PLAS). Methods We retrospectively analysed all patients who underwent a TEP inguinal hernia repair at our institution between July 2012 and May 2018. Previous lower abdominal surgery (PLAS) was defined as any previous open surgery with scarring below the umbilicus. In case of scars outside the midline, these were defined as PLAS when on the same side as the operated inguinal hernia. A univariate analysis as well as logistic regression were performed to identify outcomes of surgery between patients with- and without PLAS. Results In total 1591 patients were included in the study. 274 patients had PLAS, corresponding to 17.2%. Comparing to patients without PLAS, the group with PLAS had a significant higher risk of increased operation duration (odds ratio 1.07, p-value 0.004), but no increased risk of conversion, or intra- or postoperative complications. The highest significant risk of increasing operation duration was found after aortoiliac surgery (OR 2.08), bladder surgery (OR 1.71) or prostate surgery (odds ratio 1.22). Conclusion Performing TEP inguinal hernia repair after lower abdominal surgery slightly increases the operation duration, however there is no negative effect on the length of stay and the complication- or conversion rate. Therefore, we consider TEP to be a feasible and safe operation technique also for patients who previously underwent open lower abdominal surgery.

Feasibility and safety of total extraperitoneal inguinal hernia repair after previous lower abdominal surgery: a case–control study

2011 ◽  
Vol 25 (10) ◽  
pp. 3353-3356 ◽  
Author(s):  
Shiu-Dong Chung ◽  
Chao-Yuan Huang ◽  
Shih-Chieh Chueh ◽  
Yao-Chou Tsai ◽  
Hong-Jeng Yu
Keyword(s):  
Inguinal Hernia ◽  
Abdominal Surgery ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Case Control Study ◽  
Case Control ◽  
Total Extraperitoneal ◽  
Control Study

scholarly journals Surgical Strategy for Contralateral Groin Management in Patients Scheduled for Unilateral Inguinal Hernia Repair: An International Web-Based Surveymonkey® Questionnaire: Strategy for Contralateral Groin Management during Inguinal Hernia Repair

2020 ◽  
pp. 145749692093860
Author(s):  
N. Johansen ◽  
M. Miserez ◽  
A. de Beaux ◽  
A. Montgomery ◽  
J. Macario Faylona ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Contralateral Side ◽  
Surgical Strategy ◽  
Asia Pacific ◽  
Unilateral Inguinal Hernia ◽  
Occult Hernia ◽  
Increased Risk ◽  
Total Extraperitoneal

Background: A contralateral occult inguinal hernia is frequently observed in patients planned for a unilateral laparoscopic inguinal hernia repair. Surgical strategy for contralateral groin management in patients scheduled for an endo-laparoscopic unilateral inguinal hernia repair is controversial and based on questionable evidence. This study aimed to gather international opinion concerning the surgical strategy for the contralateral asymptomatic side when no hernia or lipoma is clinically evident at the preoperative examination or anamnesis. Methods: An international Internet-based questionnaire was sent to all the members of the European Hernia Society, the Americas Hernia Society, and the Asia Pacific Hernia Society. The clinical scenario for responders was a patient with a unilateral symptomatic inguinal hernia planned for endo-laparoscopic repair with no preoperative symptoms/lump on the contralateral side. Results: A total of 640 surgeons replied (response rate = 26%), of whom 506 were included for analysis. Most surgeons had performed > 300 repairs. The preferred surgical technique was evenly distributed between laparoscopic total extraperitoneal repair and laparoscopic transabdominal preperitoneal repair. In total, 54% preferred to implant a prophylactic mesh on the contralateral side when an occult hernia was found, 47% when a lipoma was found, and 6% when no occult hernia/lipoma was identified. Conclusion: Mesh implementation was preferred by half of the endo-laparoscopic hernia surgeons for a contralateral occult hernia and/or lipoma. Although not supported by strong evidence, mesh implantation on the asymptomatic contralateral side might be cost-effective and perhaps beneficial in the long term but could be offset by increased risk of chronic pain and sexual dysfunction.

Airway management with I-gelTM for ambulatory laparoscopic inguinal hernia repair in children; a retrospective review of 230 cases

2020 ◽  
Vol 24 (5) ◽  
Author(s):  
Carla Hipólito ◽  
Vicente Vieira ◽  
Virginia Antunes ◽  
Petra Alves ◽  
Adriana Rodrigues ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Airway Management ◽  
Inguinal Hernia Repair ◽  
Neuromuscular Blockade ◽  
Retrospective Review ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
Increased Risk ◽  
The Mean

Background: Inguinal hernia is one of the most common conditions presented for surgical repair in children and laparoscopic approaches are increasingly performed. Previous studies have shown safety and efficacy in the use of supraglottic devices (SGD) as an alternative to tracheal intubation, which fits particularly well with outpatient anesthesia. Methodology: we conduct a retrospective observational study, collecting data from the electronic anesthetic form, from all patients aged 0 to 17 y who underwent ambulatory laparoscopic percutaneous internal ring suturing between February 2015 and August 2019, if I-gelTM was used to airway management. Results: We found 230 patients meeting the inclusion criteria. The mean age was 5.2 y old, mean weight 20.1 kg. All patients were ASA I (n=203) or ASA II (n=27). The mean surgery duration was 38 minutes. We found 4 respiratory adverse events, three bronchospasms, and one laryngospasm, managed in the operating room. Ninety percent of the surgeries were performed without neuromuscular blockade. Conclusion: I-gelTM was a safe, effective, and convenient alternative to airway management to laparoscopic inguinal hernia repair in the ambulatory setting. According to available literature, our practice did not represent an increased risk for the studied respiratory events. SGD obviates the need for neuromuscular blockade. Key words: I-gel; Supraglottic devices; Laparoscopy; Inguinal hernia repair; Pediatrics; Anesthesia, ambulatory Citation: Hipólito C, Vieira V, Antunes V, Alves P, Rodrigues A, Santos MJ. Airway management with I-gelTM for ambulatory laparoscopic inguinal hernia repair in children; a retrospective review of 230 cases. Anaesth. pain intensive care 2020;24(5): Received: 18 February 2020, Reviewed: 5 August, 6 September 2020, Accepted: 11 September 2020

Laparoscopic total extraperitoneal (TEP) inguinal hernia repair: Overcoming the learning curve

2004 ◽  
Vol 18 (4) ◽  
pp. 642-645 ◽  
Author(s):  
Pawanindra Lal ◽  
R. K. Kajla ◽  
J. Chander ◽  
V. K. Ramteke
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Learning Curve ◽  
Inguinal Hernia Repair ◽  
Total Extraperitoneal

scholarly journals SIADH following laparoscopic (totally extraperitoneal) inguinal hernia repair

2012 ◽  
Vol 94 (4) ◽  
pp. e166-e167 ◽  
Author(s):  
M Ahmed ◽  
J Pattar
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Abdominal Surgery ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Antidiuretic Hormone ◽  
Totally Extraperitoneal ◽  
Inappropriate Secretion ◽  
Open Abdominal Surgery

Syndrome of inappropriate secretion of antidiuretic hormone (SIADH) is recognised to occur after cardiac and traditional open abdominal surgery. However, SIADH after laparoscopic surgery is not well documented in the literature. We report a case of SIADH after laparoscopic (totally extraperitoneal) inguinal hernia repair in an elderly man.

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