Bilateral totally extraperitoneal (TEP) repair of the ultrasound-diagnosed asymptomatic contralateral inguinal hernia

Malouf, Phillip; Descallar, Joseph; Berney, Christophe R

doi:10.1007/s00464-017-5771-y

Cited by 14 publications

(17 citation statements)

References 19 publications

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“…[ 12 ] found that among all patients undergoing unilateral TEP, seven patients developed inguinal hematoma and four patients developed edema of cord and those undergoing bilateral TEP, three were developed inguinal hematoma and one developed edema of cord. In a study conducted by Malouf et al .,[ 9 ] complication rate in unilateral TEP patients was 6.8% and in patients who were diagnosed to have COH on USG and underwent bilateral TEP, complication rate was 13% which was comparable. This study is having better postoperative clinical outcomes than that of studies conducted by Chiang et al .…”

Section: Discussionmentioning

confidence: 80%

“…[ 8 ] sensitivity and specificity of USG for detection of inguinal hernia were 96.6% and 84.4%, respectively. In a similar study conducted by Malouf et al .,[ 9 ] 34.6% patients with a clinically unilateral hernia had COH on preoperative ultrasonographic assessment and all of them accepted to go for repair of both defects in same setting. In this study, it was found that all three patients had occult hernia on left side; however, Bochkarev et al .…”

Section: Discussionmentioning

confidence: 99%

“…Malouf et al . [ 9 ] compared VAS score between patients undergoing unilateral and bilateral TEP at 2 and 6 weeks and they found that VAS scores were lower in unilateral TEP at 2 weeks ( P = 0.02) but not at 6 weeks ( P = 0.2). Among cases undergoing unilateral/bilateral TEP, all were discharged on POD1.…”

Section: Discussionmentioning

confidence: 99%

“…[ 8 ] Ultrasonographic preoperative examination of the contralateral side prevents blind exploration of the normal side during TEP. [ 9 ] The primary aim of our study was to identify the incidence of contralateral occult hernia (COH) in clinically diagnosed unilateral inguinal hernia patients using USG as diagnostic modality. The secondary aim of this study is to compare the clinical outcomes of unilateral and bilateral TEP in terms of pain, duration of surgery, length of hospital stay, time for return to normal work, and postoperative complications.…”

Section: Introductionmentioning

confidence: 99%

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A study of contralateral occult inguinal hernia in adult male patients undergoing total extraperitoneal herniorraphy

Tiwary

Kumar

et al. 2020

J Family Med Prim Care

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Background: The incidence of contralateral occult hernia (COH) varies from 4.2% to 57.5%. Total extraperitoneal (TEP) gives us opportunity to visualize contralateral groin for occult hernia and its simultaneous repair. Ultrasonography (USG) helps to diagnose occult hernia preoperatively with detection rate of 96.6% with specificity 84.4%. Objective: The aims of this study were to identify the incidence of contralateral occult inguinal hernia in clinically diagnosed unilateral inguinal hernia patients using USG as diagnostic modality and to compare the clinical outcomes of unilateral TEP vs. bilateral TEP with respect to pain, duration of hospital stay, time for return to normal work, and postoperative complications. Setting and Design: This was a prospective observational, single-center study. Materials and Methods: A total of 30 male patients were included in the study who was having clinically diagnosed unilateral hernia. All patients were assessed by USG for contralateral occult inguinal hernia. Results: Incidence of COH was 10%, two (6.7%) had indirect defect, and 1 (3.3%) had direct defect. Two (6.7%) patients underwent bilateral TEP and 28 (93.3%) underwent unilateral TEP. No significant difference was observed in terms of mean duration of hospital stay, duration of surgery, and visual analog scale score for pain in both unilateral and bilateral TEP. The mean for resuming daily work in unilateral TEP was 4.86 ± 0.833 days and in bilateral TEP the mean was 7.50 ± 0.70 days and this showed statistically significant difference ( P < 0.001). Conclusion: Patients with COH should be counselled for synchronous repair as there is no significant difference in clinical outcomes of unilateral and bilateral TEP. On the basis of this pilot study, it can be concluded that preoperative USG is mandatory for diagnosis and simultaneous management of preexisting contralateral hernia.

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Section: Discussionmentioning

confidence: 80%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A study of contralateral occult inguinal hernia in adult male patients undergoing total extraperitoneal herniorraphy

Tiwary

Kumar

et al. 2020

J Family Med Prim Care

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“…Também houve forte associação entre a formação de hematomas e a bilateralidade, o que pode ser justificado pela dissecção mais ampla, em comparação com a hérnia unilateral 15 .…”

Section: Discussionunclassified

Liechtenstein Versus Correção De Hérnia Laparoscópica Transabdominal Pré-Peritoneal (Tapp): Um Estudo Comparativo Prospectivo Com Foco Nos Resultados Pós-Operatórios Em Uma Unidade De Cirurgia Geral

Gomes¹,

Gomes²,

Podda

et al. 2021

ABCD, arq. bras. cir. dig.

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RESUMO - RACIONAL: Três técnicas cirúrgicas para correção de hérnia inguinal estão atualmente validadas. Poucos estudos compararam os resultados entre Lichtenstein e a abordagem laparoscópica transabdominal pré-peritoneal obtidos em uma etapa inicial da curva de aprendizado. OBJETIVO: Comparar os resultados iniciais do tratamento entre a técnica de Liechtenstein e a abordagem pré-peritoneal transabdominal laparoscópica para fornecer uma base para a tomada de decisão do cirurgião. MÉTODO: Os pacientes foram divididos em grupo 1: aborgadem laparoscópica transabdominal pré-peritoneal (114 pacientes), e grupo 2: reparo aberto de Lichtenstein (35 pacientes). Os dados foram coletados em prontuários médicos durante a evolução do pós-operatório imediato e por contato telefônico após a alta hospitalar. Para a análise das variáveis, foi implementado o teste de independência Qui-Quadrado, com nível de significância estabelecido em p-valor = 0,05. RESULTADOS: Houve forte associação entre laparoscopia, menos dor pós-operatória e maior tempo operatório. Além disso, notou-se preferência pela técnica nos casos de recorrência, bilateralidade, hérnia umbilical associada ou obesidade. Neste estudo, a técnica de Lichtenstein foi associada a um menor tempo de retorno ao trabalho e foi o tratamento de escolha para pacientes idosos. CONCLUSÃO: A herniorrafia laparoscópica transabdominal pré-peritoneal deve ser a primeira escolha em casos de bilateralidade, hérnia umbilical associada, obesidade e recorrência para reparo anterior. O risco cirúrgico é adequado para o procedimento, mesmo nos estágios iniciais da curva de aprendizado.

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Leistenhernienoperationen – immer ambulant?

Niebuhr

Köckerling²,

Fortelny³

et al. 2023

Chirurgie

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ZusammenfassungLeistenhernienoperationen stellen mit ca. 300.000 Eingriffen jährlich in Deutschland, Österreich und der Schweiz (DACH-Region) die häufigste Operation überhaupt dar. Trotz des bekundeten politischen Willens und des zunehmenden Drucks der Gesetzgeber zur Vermeidung kostenintensiver stationärer Behandlungen, so viele Operationen wie möglich ambulant durchzuführen, spielt in der DACH-Region die ambulante Versorgung bislang nur eine untergeordnete Rolle. Die Vorstände der Fachgesellschaften Deutsche Hernien Gesellschaft (DHG), Chirurgische Arbeitsgemeinschaft Hernien (CAH der DHG), Österreichische Hernien Gesellschaft (ÖHG) und Schweizerische Arbeitsgruppe für Hernienchirurgie (SAHC) setzen sich mit diesem Problem auseinander, schildern die Ausgangslage und bewerten die aktuelle Situation.

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Bilateral totally extraperitoneal (TEP) repair of the ultrasound-diagnosed asymptomatic contralateral inguinal hernia

Abstract: Bilateral TEP for the clinically unilateral groin hernia with an occult contralateral groin hernia can be performed without increased morbidity, accepting a minor and very temporary impairment of QoL.

Cited by 14 publications

References 19 publications

A study of contralateral occult inguinal hernia in adult male patients undergoing total extraperitoneal herniorraphy

A study of contralateral occult inguinal hernia in adult male patients undergoing total extraperitoneal herniorraphy

Liechtenstein Versus Correção De Hérnia Laparoscópica Transabdominal Pré-Peritoneal (Tapp): Um Estudo Comparativo Prospectivo Com Foco Nos Resultados Pós-Operatórios Em Uma Unidade De Cirurgia Geral

Leistenhernienoperationen – immer ambulant?

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