A Prospective Nonrandomized Study of Comparison of Perioperative and Quality of Life Outcomes of Endoscopic Versus Open Inguinal Hernia Repair: Data from a Developing Country

Abstract

Endoscopic hernia repair offers reduced hospital stay, equivocal perioperative complications, reduced postoperative pain, and early return to normal activity and work. This assumes importance in developing countries as most of the patients are the sole earning member in the family. QOL is also significantly improved with endoscopic repair with a considerable change for better with time.

Conceptos actuales en el diagnóstico y tratamiento de la hernia inguinal del adulto

“…Todas las técnicas quirúrgicas son susceptibles de realización en regímenes de CMA. La colocación de prótesis en el espacio preperitoneal por vía laparoscópica ha supuesto un valor añadido a esta estrategia de gestión, al contribuir a un menor índice de dolor postoperatorio y a una recuperación funcional más rápida [12][13][14] . En este tipo de abordaje la modalidad TEP parece tener un menor riesgo de complicaciones intraabdominales, al no penetrar en la cavidad abdominal y no evidenciar diferencias significativas de resultados cuando se compara con la técnica transabdominal preperitoneal (TAPP).…”

Patient related outcomes and ergonomic evaluation of triangular 3-port or ‘two-hand’ TEP hernioplasty: a preliminary analysis in a university hospital

“…Although many facets of endoscopic inguinal hernia repair continue to be debated-such as the possible superiority of TEP/TAPP to another, comparisons between minimal invasive and open surgery, the learning curve and training issues, and the socioeconomic implications-both TAPP and TEP have been shown to be acceptable and safe for repair of inguinal hernias. 6,7 Therefore, among endoscopic hernioplasties, totally extraperitoneal (TEP) and transabdominal pre-peritoneal (TAPP) approach are widely accepted alternatives to open surgery, both providing less postoperative pain, hospital length of stay and early return to work. Published literature consider that the Lichtenstein technique represents the gold standard in the repair of parietal inguinal defects, being known that the technique reduced the number of postoperative recurrences.…”