Effectivity of laparoscopic inguinal hernia repair (TAPP) in daily clinical practice: early and long-term result

Muschalla, Florian; Schwarz, Jochen; Bittner, R.

doi:10.1007/s00464-016-4843-8

Cited by 52 publications

(28 citation statements)

References 36 publications

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“…This can lead to the occurrence of perioperative complications and delay the return to daily life. Generally, the risk assessment of LHS was based on patient's age, underlying diseases, type of hernia, size of hernia orifice, ASA class etc; however, no studies investigated the association between patient's PS and the incidence of perioperative complications. This study for the first time showed that poor PS is an independent predictive factor of perioperative complications after TAPP.…”

Section: Discussionmentioning

confidence: 99%

Incidence of postoperative complications in transabdominal preperitoneal repair for groin hernia is influenced by poor performance status rather than by old age

Egawa

Nakamura

Manabe

et al. 2019

Annals of Gastroent Surgery

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Aim The present study was designed to evaluate the safety and feasibility of transabdominal preperitoneal (TAPP) repair for very old patients with groin hernia and to identify the risk factors predicting perioperative complications. Methods A total of 140 patients treated by TAPP were reviewed retrospectively. They were divided into two groups: patients ≥80 years of age (≥80 years group; n = 26) and those <80 years of age (<80 years group; n = 114). Patient characteristics and surgical outcomes were then statistically compared between the two groups. Results Number of patients with any comorbidities was significantly higher in the ≥80 years group than in the <80 years group (96.2% vs 61.4%, P = 0.003). There were no significant differences in surgical outcomes between the two groups. In the univariate analysis of perioperative complications, poor performance status (PS) (P = 0.014), lower hemoglobin level (P = 0.038) and lower albumin level (P = 0.016) were significantly associated with the occurrence of postoperative complications, and multivariate analysis showed that only poor PS was an independent factor (PS 0‐2 vs 3‐4: P = 0.034, OR 5.192 [95% CI; 1.137 to 23.71]). Conclusions This is the first report to show that the incidence of postoperative complications in TAPP repair for groin hernia is influenced by poor PS rather than old age. TAPP can be a safe surgical procedure for very old patients with a good PS, with benefits that are equal to those in young patients.

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Section: Discussionmentioning

confidence: 99%

Incidence of postoperative complications in transabdominal preperitoneal repair for groin hernia is influenced by poor performance status rather than by old age

Egawa

Nakamura

Manabe

et al. 2019

Annals of Gastroent Surgery

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“…9 While it is known that some patients undergoing open repair experience postoperative chronic pain for several months, chronic pain after laparoscopic repair has not been well evaluated. 10,11 Although Nienhuijs et al reported that less chronic pain occurred after laparoscopic repair compared to that for open repair, the observation period was relatively short (3 months) for the evaluation of chronic pain. 12 Moreover, few trials have been conducted evaluating the frequency or degree of chronic pain after laparoscopic repair.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of chronic pain after transabdominal preperitoneal hernia repair

et al. 2018

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Background: Early postoperative pain after transabdominal preperitoneal hernia repair (TAPP) has been frequently reported. However, the incidence and degree of chronic pain after TAPP have not been evaluated. Therefore, author aimed to examine chronic pain after TAPP.Methods: A total of 256 who underwent TAPP between November 2008 and March 2015 at the institute were enrolled. Original questionnaires focusing on the current state of pain were sent to the enrolled patients by mail. The incidence, body location, and degree of chronic pain occurring at least 6 months after the initial surgery were evaluated. In addition, a medical chart review of patients with and without chronic pain was performed to determine the predictive factors of chronic pain.Results: The survey response rate was 43.8% (112/256). The median follow-up period after the initial surgery was 44.3 months (range, 9.7-80.3 months). Sixty percent of patients experienced pain after TAPP; however, in 56.2% of the patients, the pain had mitigated 1 week after TAPP. Ten percent (12/112) of the patients had chronic pain 6 months after TAPP. Pain in the inguinal region was more frequently reported than any other wound region (67% vs 25%, p =0.0009). Although most of the patients with pain felt the pain occasionally, three of twelve patients (25%) complained of daily pain and had high VAS score. No significant predictive factors of chronic pain were identified.Conclusions: Ten percent of patients experienced chronic pain after TAPP. Large scale prospective trials are needed to identify the predictive factors of chronic pain.

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“…The use of alloplastic materials has become the standard procedure in inguinal hernia surgery [1][2][3][4][5][6]. Hernia surgery is one of the most common visceral operations and thus of great medical and economic importance.…”

Section: Introductionmentioning

confidence: 99%

“…Hernia surgery is one of the most common visceral operations and thus of great medical and economic importance. Many publications have shown that there are advantages in the early postoperative outcome and lower recurrence rate when using techniques with mesh implantation compared with mesh-free inguinal hernia repair [1][2][3][4][5][6]. Therefore, inguinal hernia repair with mesh has become the standard in the last 20 years.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, inguinal hernia repair with mesh has become the standard in the last 20 years. Open surgery according to Lichtenstein was used most often at the earlier times, whereas minimally invasive techniques have been increasingly applied in the last decade [1][2][3][4][5][6]. Chronic pain is the most frequent long-term complication after inguinal hernia repair.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Chronic Pain after Laparoscopic Inguinal Hernia Repair Depends on Mesh Implant Features: A Clinical Randomised Trial

Langenbach¹,

Berengolts²

2017

Open J Pain Med

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Effectivity of laparoscopic inguinal hernia repair (TAPP) in daily clinical practice: early and long-term result

Abstract: Laparoscopic repair can be applied to all types of inguinal hernia as a daily routine procedure with low rates of recurrences and chronic pain. Limiting factor may be extensive adhesions after previous major surgery in the lower abdomen.

Cited by 52 publications

References 36 publications

Incidence of postoperative complications in transabdominal preperitoneal repair for groin hernia is influenced by poor performance status rather than by old age

Incidence of postoperative complications in transabdominal preperitoneal repair for groin hernia is influenced by poor performance status rather than by old age

Evaluation of chronic pain after transabdominal preperitoneal hernia repair

Chronic Pain after Laparoscopic Inguinal Hernia Repair Depends on Mesh Implant Features: A Clinical Randomised Trial

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