Comparison of Totally Extraperitoneal Technique and Darn Plication of Primary Inguinal Hernia

Abstract

TEP repair is comparable to darn plication in terms of complications and recurrences. Unilateral TEP can be safely and efficiently accomplished in less than 45 minutes, even during the initial learning phase. TEP is more comfortable for patients and results in earlier ambulation and return to work. The qualitative accounts given by the patients also support the advantages of TEP in postoperative period.

Meta-analysis of patient-reported outcomes after laparoscopic versus open inguinal hernia repair

“…Thirteen studies (22 per cent) documented patient‐reported disability after surgery, defined as time to return to normal activities of daily living. There were 1449 patients randomized in the open repair group and 1365 in the laparoscopic repair group.…”

“…Sixty‐seven studies met the inclusion criteria. Nine studies had the same participants with different durations of follow‐up, resulting in 58 RCTs with unique populations ( Fig . ).…”

“…Twenty studies (34 per cent) reported pain between 6 months and up to 1 year, with 3133 patients randomized to open hernia repair and 2999 to laparoscopic hernia repair.…”

“…Twenty‐two studies (38 per cent) reported paraesthesia, with 3446 patients randomized to open hernia repair and 3237 to laparoscopic repair.…”

Effects of totally extraperitoneal (TEP) and Lichtenstein hernia repair on testicular blood flow and volume

“…The skin-to-skin operative time was statistically shorter in the laparoscopic group compared with the open group. Data 21,24 Although considered rare, several complications that occur during laparoscopic hernia repair warrant special attention. Rates of complications as reported by previous studies are major visceral injuries (0-0.3%) and major vascular injuries (0-0.11%).…”