scholarly journals Single Surgeon Experience With Repair of Occult Inguinal Hernias Using the TAPP Approach: A Prospective Study

2015 ◽  
Vol 100 (11-12) ◽  
pp. 1403-1407 ◽  
Author(s):  
Fatih Ciftci
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Inguinal Hernias ◽  
Total Extraperitoneal ◽  
Surgeon Experience ◽  
Clinical Diagnoses ◽  
Physical Examinations ◽  
A Prospective Study

The trans-abdominal preperitoneal (TAPP) approach provides access to the contralateral groin for exploration and repair of occult hernias. Previous studies have shown that the total extraperitoneal (TEP) approach also provides access to the contralateral groin for inguinal hernia repair. The aim of the current study was to document the rate of contralateral occult inguinal hernias diagnosed during the TAPP procedure. Data from all cases of TAPP inguinal hernia repair in our hospital were recorded prospectively for 3 years. Follow-up appointments included physical examinations. A total of 302 patients underwent TAPP inguinal hernia repair. We excluded 3 patients from the study and 299 were included. A total of 204 (68%) patients were scheduled for unilateral hernia repair and contralateral occult hernias were detected in 44 (21%) patients in this group. Of the 74 patients scheduled for bilateral repair, 60 (81%) underwent bilateral repair. In the remaining 29 patients, the diagnosis was changed to unilateral hernia. In this group, unilateral hernia repair was planned along with the possibility of contralateral hernia in 18 (6%) patients. Of these patients, 5 (27%) were subsequently found to have contralateral defects, 1 of whom underwent femoral repair. Our clinical diagnoses were 78% accurate. Identifying the actual incidence of contralateral occult inguinal hernia will enhance the planning of the treatment preoperatively and favor resource allotment planning for utilization of the operating room. TAPP allows preoperative diagnosis and treatment of contralateral occult hernias, saving the patient from additional symptoms and reoperations.

Follow-up after inguinal hernia repair. Questionnaire compared with physical examination: a prospective study in 299 patients

2003 ◽  
Vol 164 (7) ◽  
pp. 533-536 ◽  
Author(s):  
Patrick M. Vos ◽  
Maarten P. Simons ◽  
Jan S. K. Luitse ◽  
Dick van Geldere ◽  
Mark J. W. Koelemaij ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Physical Examination ◽  
Hernia Repair ◽  
Prospective Study ◽  
Inguinal Hernia Repair ◽  
A Prospective Study

scholarly journals A comparative study of Desarda’s mesh free inguinal hernia repair with modified Bassini’s repair

2021 ◽  
Vol 6 (2) ◽  
pp. 104-115
Author(s):  
Hosni Mubarak Khan ◽  
◽  
Tirumal Rao Patwari
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Open Approach ◽  
Medical College ◽  
Inguinal Hernias ◽  
Mesh Free ◽  
Hospital Stays ◽  
A Prospective Study ◽  
Repair Techniques

Objective. This is a prospective study of 50 cases of inguinal hernias which were treated through open inguinal hernia repair techniques. The study was conducted with the objective of comparing the effectiveness of these procedures and complications. Materials and Methods. A number of 50 cases of inguinal hernias admitted to Dr. BR Ambedkar Medical College and Hospital were selected on the basis of the non-probability (purposive) sampling method. All the patients with direct and indirect uncomplicated hernias treated by means of an open approach were included. After the preoperative preparation, they were randomly chosen either for Desarda’s or Modified Bassini’s repair techniques. Results. In the postoperative period, moderate pain was experienced by 19 patients included in the Desarda group and 17 patients included in the Modified Bassini’s repair group on day 1. The postoperative wound infection developed in 2 cases of Desarda and 3 cases of Modified Bassini’s, erythema was observed in 2 cases of Desarda and 3 cases of Modified Bassini’s, 3 cases reported the occurrence of seroma in the Desarda group and 4 cases of seroma were recorded in the Modified Bassini’s group. Conclusions. The patients who underwent Desarda repair complained of a higher intensity of pain, which could probably be attributed to the extensive dissection involved. The duration of Desarda repair was longer due to the learning curve of the surgeons in our hospital. The return to normal gait and normal activities was significantly lower in the Desarda group. The duration of hospital stays and the postoperative complications was not significantly different in the two groups. There were no recurrences in either of the groups until the current study.

Follow-up after laparoscopic inguinal hernia repair, can it be done by phone? A prospective study in 300 patients, the PINQ-PHONE

2015 ◽  
Vol 29 (11) ◽  
pp. 3292-3297 ◽  
Author(s):  
Baukje van den Heuvel ◽  
J. A. van Jarwaarde ◽  
P. Wichers ◽  
E. S. M. de Lange de Klerk ◽  
H. J. Bonjer ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Prospective Study ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
A Prospective Study

Laparoscopic cauterization of hernia sac in girls; the Burnia technique

2020 ◽  
Author(s):  
Sabriye Dayı
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Abdominal Cavity ◽  
Operation Time ◽  
Contralateral Side ◽  
Hernia Sac ◽  
Inguinal Hernias ◽  
Laparoscopic Techniques

INTRODUCTION: Inguinal hernia repair is one of the most common surgical procedures in pediatric surgery. In parallel with the advances in the field of medicine, various laparoscopic techniques have been developed in inguinal hernia repair. The Burnia technique is one of the latest published techniques and it is the cauterization of the inguinal hernia sac laparoscopically without using sutures in girls. The aim of this study is the investigation of the use of Burnia technique in clinical practice, and its postoperative outcomes. Any article concerning the use of this technique in Turkey has not been encountered. METHODS: The demographic features of patients, preoperative, peroperative, postoperative and follow-up results of 41 patients who had been operated with Burnia technique by a single surgeon within 2 years were reviewed retrospectively. Laparoscopically, the camera was first placed at an inclination of 30 degrees to the umbilical region using Hasson technique, and then, a single port was used for cauterization of the hernia sac. The Hernia sac was pulled into the abdominal cavity and cauterized. RESULTS: Burnia technique was applied to 62 inguinal hernia sacs in 41 girls. Their ages ranged from 1.5 to 16 years (median 36 months) with body weights ranging between 3.5 kg-40 kg (median 12 kg). Preoperatively 15 patients had right (37%), 19 patients left (46%), 7 patients bilateral inguinal hernias (17%). During surgery, 14 of the unilateral inguinal hernias were found to have a hernia sac on the contralateral side, and the rate of bilateral hernia increased to 51 percent. In one patient ovary was in the inguinal canal, and after its reduction, we proceeded with the operation Unexpectedly. in one patient, right ovarian torsion was detected which was detorsioned, and hernia surgery was performed in the same session. The duration of the operation was 5-35 min (median 15 min) for unilateral and 8-45 min (median 20 minutes) for bilateral hernias. None of these patients developed peroperative and postoperative complications. Follow-up time was minimum 10 months, and maximum 3 years. Recurrence was not detected. DISCUSSION AND CONCLUSION: Burnia technique seems to be effective and safe. The contralateral side and other intra-abdominal pathologies are explored. The cosmetic appearance is its another advantage. The operation time is very short due to the fact that only the hernia sac is cauterized. Comparison of this technique with other laparoscopic techniques is planned in the future study.

scholarly journals Endoscopic Techniques in the Treatment of Inguinal Hernias

2020 ◽  
Vol 13 (2) ◽  
pp. 138-145
Author(s):  
Wadim Trukhalev ◽  
Alexander Vlasov ◽  
Аleksandra Kalinina ◽  
Elena Krivenkova
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Fixation ◽  
Safe Procedure ◽  
Recurrence Rates ◽  
Tension Free ◽  
Inguinal Hernias ◽  
Total Extraperitoneal ◽  
Endoscopic Methods

The review is devoted to the treatment methods of inguinal hernia. Inguinal hernia repair is one of the most common operations in the world and is performed on more than 20 million patients per year. Recurrence rates of inguinal hernias after different types of surgical interventions range from 10 to 15%. The use of synthetic materials reduced the rates of hernia recurrence on average to 1-5%. Currently there are traditional tissue-based techniques, open tension-free mesh hernia repair, and laparoscopic mesh hernioplasty. Nowadays tension-free repair with synthetic mesh is a technique of choice for inguinal hernia repair. The emphasis has been placed on endoscopic methods of inguinal hernia prosthetic repair. According to the literature, laparoscopic repair is associated with low rates of wound infection and fewer haematomas, which leads to early resumption of everyday activities compared with Lichtenstein hernia repair. The paper discusses two standardized endoscopic methods for inguinal hernia treatment, namely laparoscopic transabdominal preperitoneal patch (TAPP) and total extraperitoneal (TEP) repair. Analysis of the literature has shown that criteria of necessity and method of mesh fixation during TAPP procedure were not completely identified. However, a number of researches have demonstrated that TAPP technique without mesh fixation proved to be a safe procedure which can be used in most patients with unilateral and bilateral inguinal hernia showing no increase in postoperative complications and low recurrence rates.

scholarly journals Laparoscopic total extraperitoneal (tep) repair of direct inguinal hernia using nonfixation of three-dimensional mesh: Long term follow up

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Đình Tuấn Dũng Phan ◽  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Three Dimensional ◽  
Mesh Migration ◽  
Direct Inguinal Hernia ◽  
Tep Repair ◽  
Total Extraperitoneal ◽  
Laparoscopic Tep

Tóm tắt Đặt vấn đề: Đến nay, phẫu thuật nội soi trong điều trị bệnh lý thoát vị bẹn được thực hiện ngày càng nhiều trên lâm sàng, trong đó phẫu thuật nội soi hoàn toàn ngoài phúc mạc đã được sử dụng rộng rãi cùng một tấm lưới nhân tạo được cố định vào thành bụng trước. Tuy nhiên, sự cố định này là một trong những nguyên nhân chủ yếu gây ra tình trạng đau sau mổ và ngược lại sự di chuyển của tấm lưới nhân tạo phẳng chính là nguyên nhân gây ra tình trạng thoát vị tái phát. Việc sử dụng tấm lưới nhân tạo 3D (3DMAX Mesh/Bard-Davol) có thể tránh được những vấn đề này. Mục tiêu của đề tài nhằm đánh giá kết quả lâu dài của phương pháp phẫu thuật đặt tấm nhân tạo 3D ngoài phúc mạc qua ngã nội soi trong điều trị bệnh lý thoát vị bẹn trực tiếp. Phương pháp nghiên cứu: Phương pháp nghiên cứu mô tả tiến cứu được thực hiện trên các người bệnh được chẩn đoán thoát vị bẹn trực tiếp và được điều trị phẫu thuật nội soi hoàn toàn ngoài phúc mạc (TEP) đặt tấm nhân tạo 3D (3D-Max - Davol) từ tháng 6 năm 2010 đến tháng 12 năm 2018. Nghiên cứu đánh giá về các đặc điểm chung, đặc điểm phẫu thuật, biến chứng, thời gian nằm viện và đánh giá tái khám sau phẫu thuật sau 36 tháng. Kết quả: Có 62 người bệnh (tổng số 67 trường hợp thoát vị trực tiếp) đã được phẫu thuật bằng phương pháp đặt tấm nhân tạo 3D ngoài phúc mạc bằng nội soi. Độ tuổi trung bình 54,7 ± 13,1 tuổi (nhỏ nhất 41 tuổi, lớn nhất 81 tuổi). 91,9% là thoát vị bẹn một bên. Đặc điểm phẫu thuật: thủng phúc mạc trong quá trình phẫu thuật chiếm tỷ lệ 4,5%, không có trường hợp nào tổn thương các mạch máu lớn trong phẫu thuật. Thời gian phẫu thuật trung bình là 47,2±11,9 phút (35-95 phút) đối với thoát vị bẹn một bên và 81,4±18,9 phút (65-120 phút) đối với thoát vị bẹn hai bên. Tái khám sau mổ: 3/67 (4,5%) trường hợp còn cảm giác đau khi tái khám vào tháng thứ 3, không có trường hợp tụ dịch ở vết mổ, không có trường hợp tái phát nào được ghi nhận lúc tái khám vào ở vết mổ, không có trường hợp tái phát nào được ghi nhận lúc tái khám vào tháng thứ 36. Kết luận: Phẫu thuật nội soi hoàn toàn ngoài phúc mạc với tấm nhân tạo 3D trong điều trị thoát vị bẹn trực tiếp có tính an toàn và hiệu quả cao. Kỹ thuật này có thể được áp dụng rộng rãi và nên được xem như là tiêu chuẩn vàng trong điều trị bệnh lý thoát vị bẹn. Abstract Introduction: Laparoscopic inguinal hernia repair is frequently performed using the mechanical fixation of a flat polypropylene mesh. This procedure is associated with pain issue and mesh migration that may occur without fixation of flat prothesis. An anatomically contoured mesh 3D-Max (3DMAX Mesh/Bard-Davol, France) using no fixation would prevent these problems. The objective of this study is to evaluate the effectiveness and safety of laparoscopic totally extraperitoneal (TEP) for inguinal hernia repair with nonfixation of three-dimensional mesh. Material and Methods: A retrospective analysis of patients, admitted for direct inguinal hernia and operated by laparoscopic TEP with nonfixation of 3-D mesh, performed between June 2010 and December 2018. Data were collected regarding general characteristics, complications, length of hospital stay and the recurrence rates. Results: 62 patients with 67 direct hernias underwent laparoscopic (TEP) to repair hernia with an average age of 54.7±13,1 years (range 41 – 81 years); peritoneal injury was noticed during dissection in 4.5%, there was no injury of the inferior epigastric vessels during dissection. Average operative time of unilateral hernia was 47.2±11.9 minutes (range 35 – 95 minutes). All patients in this series were followed, pain in 4.5% at 3 months after operation. There were no recurrences at 36 months postoperative follow up. Conclusion: The laparoscopic (TEP) repair of inguinal hernia is safe and effective. It is considered as the gold standard technique in treatment of direct hernia. Keyword: Inguinal hernia – Laparoscopic TEP, hernioplasty – laparoscopy.

scholarly journals Laparoscopic inguinal hernia repair: a prospective study of 120 cases

2018 ◽  
Vol 5 (8) ◽  
pp. 2904
Author(s):  
Jenish Yogeshkumar Sheth ◽  
Foram Arvindbhai Modh
Keyword(s):  
Inguinal Hernia ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia Repair ◽  
Laparoscopic Inguinal Hernia ◽  
A Prospective Study ◽  
Mean Time ◽  
Open Hernia Repair

Background: Inguinal hernias have been treated traditionally with open methods of hernioplasty. But the trends have changed in last 2 decades with the introduction of laparoscopic inguinal hernia repair by transabdominal preperitoneal (TAPP) and total extra preperitoneal (TEP) surgery.Methods: The study was prospective type conducted from January 2010 to April 2018. 130 patients, who underwent laparoscopic inguinal hernia repair. 60 patients for TAPP and 60 patients for TEP. Preoperative, intraoperative, postoperative and follow up data was analysed.Results: From 130 patients,10 patient underwent open hernia repair due to anaesthetics reason. 93.3% primary hernias and 6.7% recurrent hernias. 50% was repaired by TEP and 50% by TAPP. Mean time taken for surgeries was 60-90 min. The intraoperative, postoperative complications rates were 1.2% and 7.4% respectively. Mean hospital stay was 1-5 days.Conclusions: laparoscopic inguinal hernia repair could be contemplated safely both via totally extra peritoneal as well as transperitoneal route even in our setup of developing country with modifications.

scholarly journals Laparoscopic totally extra peritoneal (TEP) inguinal hernia repair: A series of 47 cases

2017 ◽  
Vol 5 (4) ◽  
pp. 120-123
Author(s):  
Suman Kumar Shrestha
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Hospital Stay ◽  
Inguinal Hernia Repair ◽  
College Teaching ◽  
Operation Time ◽  
Medical College ◽  
Inguinal Hernias ◽  
Total Extraperitoneal ◽  
The Mean

Background: Over the past years, several surgical techniques have been evolved, among which total extraperitoneal inguinal hernia repair is the laparoscopic technique which is more popular now.Objective: To evaluate the outcome of totally extra peritoneal laparoscopic hernioplasty in terms of operation time, hospital stay and complications.Methods: The prospectively designed descriptive study was carried out at Department of Surgery Unit III, Kathmandu Medical College Teaching Hospital from February 2014 to April 2015. Forty seven consecutive patients above 15 years of age underwent totally extra peritoneal repairs for inguinal hernias. The selection criteria were reducible primary or recurrent, unilateral, direct and indirect inguinal hernias. All the relevant details of each patient were noted subsequently and analyzed statistically using Statistical Program for Social Sciences (SPSS) version 15.Results: The mean age of patient was 49±2.5 years. The mean operation time was 65±5.3 minutes. There were no serious complications except four (8.5%) cases of groin seroma which resolved after single time aspiration. Three (6.3%) cases had developed recurrence, two (4.2%) had developed hydrocele in a median follow up period of 6±1.5 (range, 3-9months). The mean inpatient hospital stay was 1.7±0.2 (range, 1-2.4days).Conclusion: Total extra peritoneal hernioplasty is safe and feasible with acceptable complications and recurrence rates.Journal of Kathmandu Medical College, Vol. 5, No. 4, Issue 18, Oct.-Dec., 2016, page: 120-123

Inguinal Hernia Repair Using Self-adhering Sutureless Mesh: Adhesix™: A 3-Year Follow-up with Low Chronic Pain and Recurrence Rate

2016 ◽  
Vol 82 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Malek Tabbara ◽  
Laurent Genser ◽  
Manuela Bossi ◽  
Maxime Barat ◽  
Claude Polliand ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Inguinal Hernia ◽  
Postoperative Pain ◽  
Postoperative Complications ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Recurrence Rate ◽  
Initial Surgery ◽  
Complications Rate

To review our experience and outcomes after inguinal hernia repair using the lightweight self-adhering sutureless mesh “Adhesix™” and demonstrate the safety and efficacy of this mesh. This is a 3-year retrospective study that included 143 consecutive patients who underwent 149 inguinal hernia repairs at our department of surgery. All hernias were repaired using a modified Lichtenstein technique. Preoperative, perioperative, and postoperative data were prospectively collected. Incidence of chronic pain, postoperative complications, recurrence, and patient satisfaction were assessed three years postoperatively by conducting a telephone survey. We had 143 patients with a mean age of 58 years (17–84), who underwent 149 hernia repairs using the Adhesix™ mesh. Ninety-two per cent (131 patients) were males. Only 10 patients (7%) had a postoperative pain for more than three years. In our series, neither age nor gender was predictive of postoperative pain. Only one patient had a hematoma lasting for more than one month and only four patients (2.8%) had a recurrence of their hernia within three years of their initial surgery. Ninety per cent of the patient expressed their satisfaction when surveyed three years after their surgery. In conclusion, the use of the self-adhering sutureless mesh for inguinal hernia repair has been proving itself as effective as the traditional mesh. Adhesix™ is associated with low chronic pain rate, recurrence rate, and postoperative complications rate, and can be safely adopted as the sole technique for inguinal hernia repair.

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