scholarly journals Transabdominal Preperitoneal Patch Plasty versus Open Lichtenstein Hernia Repair – A Study

2021 ◽  
pp. 18-23
Author(s):  
AJAZ AHMAD RATHER ◽  
SAJAD AHMAD SALATI
Keyword(s):  
Cohort Study ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Prospective Cohort ◽  
Operation Time ◽  
Lichtenstein Repair ◽  
Medical College ◽  
Transabdominal Preperitoneal ◽  
Lichtenstein Hernia Repair ◽  
Patch Plasty

   A study to compare the outcomes of laparoscopic transabdominal preperitoneal patch plasty (TAPP) and open Lichtenstein repair in the management of inguinal hernia was carried out at the Department of Surgery, SKIMS Medical College, Bemina, Srinagar, Kashmir, India, from June 2017 to December 2018. Sixty patients with inguinal hernia were enrolled in the study. It was a type of non-randomized prospective cohort study, wherein 30 patients were treated with TAPP and 30 with open Lichtenstein repair. Patients were studied since admission till discharge and followed for 2 years in the outpatient department. Mean operation time in TAPP was higher than the Open Lichtenstein Repair, but the overall complications were higher in the latter. Patients with inguinal hernias who underwent repair by TAPP approach had significantly better post-operative courses than those who undergo open Lichtenstein repair.

scholarly journals Mesh Fixation versus Non Fixation in Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A B Lachin ◽  
A A Abdrabbu ◽  
A A F Darwish ◽  
M M K Ali
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Operation Time ◽  
Fixation Group ◽  
Transabdominal Preperitoneal ◽  
Transabdominal Preperitoneal Inguinal Hernia

Abstract Background inguinal hernia repair is the most common procedure in general and visceral surgery worldwide. Several studies have shown that laparoscopic repair offers the advantage of minimally invasive surgery to the patient. The mesh can be placed without fixation or can be fixed into place with tuckers. Aim of the Work this study aimed to compare mesh fixation versus non-fixation in laparoscopic transabdominal preperitoneal (TAPP) repair of inguinal hernia, as regards the operation time, hospitalization, postoperative complication, recurrence and chronic pain. Patients and Methods sixty adult males with inguinal hernia were repaired with laparoscopic transabdominal preperitoneal inguinal hernia repair, divided into; mesh fixation group (n = 35) versus non-fixation group (n = 25), and certain parameters were assessed during the operative, postoperative and follow-up periods. Results mean operation time and mean hospital stay time were significantly higher in mesh fixation group than non-fixation group. VAS scores 2days, 3months, and 6months postoperative were less for non-fixation group. Non-significant difference was found between both groups regarding intraoperative injury, hernia recurrence, wound seroma, mesh infection, chronic pain, return to physical activity. Conclusion TAPP inguinal hernioplasty without mesh fixation does not increase recurrence rate, but reduces operative duration, hospital stay duration and decreases the incidence of postoperative pain.

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 LAPAROSCOPIC TRANS-ABDOMINAL PREPERITONEAL VERSUS LICHTENSTEIN REPAIR OF INGUINAL HERNIA: A COMPARATIVE STUDY.

2019 ◽  
Vol 26 (07) ◽  
pp. 1151-1155
Author(s):  
Munawar Jamil ◽  
Khurram Niaz ◽  
Fatima Tahir ◽  
Humaira Sobia
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Hernia Repair ◽  
Return To Work ◽  
Hospital Stay ◽  
Operation Time ◽  
Laparoscopic Group ◽  
Lichtenstein Repair ◽  
Acute Postoperative Pain ◽  
Stay Time

Objectives: To compare Laparoscopic transabdominal preperitoneal (TAPP)  to open Lichtenstein inguinal hernia repair for operation time, acute postoperative pain, complications, hospital stay, time to return to work to find out which has better outcome. Study Design: A prospective randomised controlled trial. Setting: QAMC/BVH Bahawalpur; Pakistan. Period: July 2017 to June 2018. Methodology: It included 50 patients, 32 in Lichtenstein group and 18 in TAPP group above the age of 18 years. Operation time, acute postoperative pain, complications, hospital stay, time to return to work were compared in two groups. Data analysis was done on SPSS 23 version. Results: Mean age of patients were 45±9.79 and 44.95±9.82 in Lichtenstein and laparoscopic group, 96% were male. Operation time was 37.96±13.66 vs. 48.77±9.99 (Min), hospital stay 2.28±0.79 vs.1.55±0.63 (Days), time to return to work 13.20±4.75 vs.10.47±3.59 (Days) in Lichtenstein and laparoscopic group respectively. Pain score was 6.1±1.9 vs. 5.2±0.94 in Lichtenstein and laparoscopic group. In immediate complications haematoma 6.25% vs. 0%, seroma 3.12% vs. 11.11%, wound infection 9.37% vs.5.55%, visceral injury 0% vs. 5.5% in Lichtenstein to laparoscopic group respectively. In long term complications chronic pain 28.12% vs.11.11%, recurrence 3.12% vs.0%, port site hernia 0% vs. 5.55%, numbness 9.37% vs. 0% in Lichtenstein and Laparoscopic group respectively. Mortality was nil in both groups. Conclusion: Although there is insignificant difference in complication rate, Laparoscopic hernia repair is better than Lichtenstein repair in terms of less postoperative pain, less hospital stay and early return to work.

scholarly journals Three-dimensional versus two-dimensional high-definition laparoscopy in transabdominal preperitoneal inguinal hernia repair: a prospective randomized controlled study

2019 ◽  
Vol 34 (11) ◽  
pp. 4857-4865 ◽  
Author(s):  
Hanna E. Koppatz ◽  
Jukka I. Harju ◽  
Jukka E. Sirén ◽  
Panu J. Mentula ◽  
Tom M. Scheinin ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Three Dimensional ◽  
Operation Time ◽  
Controlled Study ◽  
Two Dimensional ◽  
3D Laparoscopy ◽  
Laparoscopic Procedures ◽  
Transabdominal Preperitoneal

Abstract Background Three-dimensional (3D) laparoscopy improves technical efficacy in laboratory environment, but evidence for clinical benefit is lacking. The aim of this study was to determine whether the 3D laparoscopy is beneficial in transabdominal preperitoneal laparoscopic inguinal hernia repair (TAPP). Method In this prospective, single-blinded, single-center, superior randomized trial, patients scheduled for TAPP were randomly allocated to either 3D or two-dimensional (2D) TAPP laparoscopic approaches. Patients were excluded if secondary operation was planned, the risk of conversion was high, or the surgeon had less than five previous 3D laparoscopic procedures. Patients were operated on by 13 residents and 3 attendings. The primary endpoint was operation time. The study was registered in ClinicalTrials.gov (NCT02367573). Results Total 278 patients were randomized between 5th February 2015 and 23rd October 2017. Median operation time was shorter in the 3D group (56.0 min vs. 68.0 min, p < 0.001). 10 (8%) patients in 3D group and 6 (5%) patients in 2D group had clinically significant complications (Clavien–Dindo 2 or higher) (p = 0.440). Rate of hernia recurrence was similar between groups at 1-year follow-up. In the subgroup analyses, operation time was shorter in 3D laparoscopy among attendings, residents, female surgeons, surgeons with perfect stereovision, surgeons with > 50 3D laparoscopic procedures, surgeons with any experience in TAPP, patients with body mass indices < 30, and bilateral inguinal hernia repairs. Conclusion 3D laparoscopy is beneficial and shortens operation time but does not affect safety or long-term outcomes of TAPP.

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