Laparoscopic Repair of a Man with Massive Bilateral Femoral Hernias

In this review, we describe a laparoscopic totally extraperitoneal (TEP) repair of a man with massive bilateral femoral hernias that had been chronically incarcerated, which has not previously been described in the literature. Our purpose is to not only to describe our laparoscopic technique and postoperative management, but also to comprehensively review the literature regarding the principles of laparoscopic hernia repair and specifically laparoscopic femoral hernia repair. TEP repair is a safe approach to the surgical management of femoral hernias, including those that are incarcerated, and furthermore offers the advantage of repairing other concomitant hernias, which may be more prevalent than expected.

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Comments on “Transabdominal Preperitoneal (TAPP) Versus Totally Extraperitoneal (TEP) for Laparoscopic Hernia Repair

Surgical Laparoscopy Endoscopy & Percutaneous Techniques ◽

10.1097/sle.0000000000000251 ◽

2016 ◽

Vol 26 (2) ◽

pp. 171 ◽

Cited By ~ 1

Author(s):

Kunpeng Qu ◽

Jianwei Ma

Keyword(s):

Hernia Repair ◽

Laparoscopic Hernia Repair ◽

Totally Extraperitoneal ◽

Transabdominal Preperitoneal

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The preperitoneal tissue dilemma in totally extraperitoneal (TEP) laparoscopic hernia repair

Surgical Endoscopy ◽

10.1007/s004640090107 ◽

2002 ◽

Vol 16 (6) ◽

pp. 927-930 ◽

Cited By ~ 10

Author(s):

J. F. Lange ◽

P. P. G. M. Rooijens ◽

S. Koppert ◽

G. J. Kleinrensink

Keyword(s):

Hernia Repair ◽

Laparoscopic Hernia Repair ◽

Totally Extraperitoneal

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The totally extraperitoneal laparoscopic hernia repair

Surgical Endoscopy ◽

10.1007/bf00187384 ◽

1996 ◽

Vol 10 (3) ◽

pp. 332-335 ◽

Cited By ~ 12

Author(s):

P. Vanclooster ◽

A. L. Meersman ◽

C. A. de Gheldere ◽

C. K. Van de Ven

Keyword(s):

Hernia Repair ◽

Laparoscopic Hernia Repair ◽

Totally Extraperitoneal

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The totally extraperitoneal laparoscopic hernia repair Preliminary results

Surgical Endoscopy ◽

10.1007/s004649910054 ◽

1996 ◽

Vol 10 (3) ◽

pp. 332-335 ◽

Cited By ~ 1

Author(s):

P. Vanclooster ◽

A. L. Meersman ◽

C. A. de Gheldere ◽

C. K. Van de Ven

Keyword(s):

Hernia Repair ◽

Laparoscopic Hernia Repair ◽

Preliminary Results ◽

Totally Extraperitoneal

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Laparoscopic inguinal hernia repair: a rare case of colonic mesh migration

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2018.0135 ◽

2018 ◽

Vol 100 (8) ◽

pp. e207-e210 ◽

Cited By ~ 1

Author(s):

K Narang ◽

A Krishan ◽

B Pisavadia ◽

A Wadood ◽

M Budhoo ◽

...

Keyword(s):

Inguinal Hernia ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Rare Case ◽

Abdominal Wall Defect ◽

Laparoscopic Hernia Repair ◽

Laparoscopic Technique ◽

Mesh Migration ◽

Wall Defect ◽

Fixation Devices

Inguinal hernia repair can be performed via either an open or laparoscopic technique. Use of a mesh to repair the abdominal wall defect is now common practice, leading to a reduction in hernia recurrence but also associated with a number of complications. We report a rare case of a 49-year old man who presented 3 years after laparoscopic hernia repair with right-sided abdominal pain and loose stools. Colonoscopy and computed tomography revealed a mesh and fixation devices within the lumen of the caecum and ascending colon. The mesh was successfully excised with primary closure of the bowel defect. This case highlights the importance of recognising mesh migration as a complication of hernia repair, a phenomenon which can lead to serious morbidity. We suggest that patients should be informed of this risk during the consent process, while further research is needed to investigate how this occurrence can be prevented.

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A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

International Surgery Journal ◽

10.18203/2349-2902.isj20171017 ◽

2017 ◽

Vol 4 (4) ◽

pp. 1244

Author(s):

Sudarshan P. B. ◽

Sundaravadanan B. S. ◽

Prabu Shankar S.

Keyword(s):

Inguinal Hernia ◽

Retrospective Study ◽

Hernia Repair ◽

Inguinal Hernia Repair ◽

Laparoscopic Repair ◽

Laparoscopic Approach ◽

Bilateral Hernia ◽

Totally Extraperitoneal ◽

Transabdominal Preperitoneal ◽

Inguinal Hernias

Background: The two common procedures which are nowadays commonly performed for laparoscopic repair of inguinal hernia are transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) mesh repair. This retrospective study was aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms of various outcomes.Methods: In this retrospective study, we included 50 cases of inguinal hernia who underwent laparoscopic approach of inguinal hernia repair at Saveetha medical college and hospital between 2014 and 2016 for a duration of 3 years. Various parameters including the age, sex of patient, type of hernia, preoperative and post-operative complications, duration of hospital stay was analysed.Results: Of the 50 patients who underwent laparoscopic repair, 26 patients underwent TEP and 24 patients under went TAPP procedure. 31 cases were indirect inguinal hernias and 30 cases were direct inguinal hernias, totalling 61 hernia repairs, as 11 patients had bilateral hernia. One female inguinal hernia and 4 cases of recurrent hernia were operated by TAPP method. Postoperative complications like seroma formation; subcutaneous emphysema was seen in TEP group. Two cases of TEP were converted to TAPP and open lichenstein procedure. Postoperative pain was less in both the group. Patients who underwent TEP procedure spent less time in the hospital compared to those who underwent TAPP procedure.Conclusions: There is no major difference in the outcome after TEP and TAPP surgeries except for some minor complications and the results are comparable in both techniques TAPP and TEP. Both the procedures can be practiced according to surgeon’s familiarity of the procedure.

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