Efficacy of Laparoscopic Totally Extraperitoneal Repair for Inguinal Hernia

Abstract

Objective. To assess the treatment efficacy of laparoscopic totally extraperitoneal repair for inguinal hernia. Methods. Between November 2018 and May 2020, 130 patients with inguinal hernias diagnosed and treated in our hospital were randomly recruited and assigned to receive either tension-free hernia repair (control group) or laparoscopic totally extraperitoneal repair (study group) at the random method. All patients received routine care including external traditional Chinese medicine (TCM) application. Outcome measures included surgical indices, numeric rating scale (NRS) scores, infections, and postoperative complications. Results. Laparoscopic surgery is associated with a shorter operation duration, time-lapse before postoperative off-bed activity, and hospital stay, as well as less intraoperative hemorrhage volume compared to tension-free hernia repair in the control group. Patients in the study group had considerably lower NRS ratings after therapy than those in the control group. ( P < 0.05 ). After treatment, the levels of blood cell count (WBC), C-reactive protein (CRP), and procalcitonin (PCT) in the study group were lower than those in the control group ( P < 0.05 ). In the control group, there were 0 cases of hematoma, 3 cases of subcutaneous effusion, 4 cases of urinary retention, 5 cases of scrotal effusion, and 1 case of bladder injury. In the study group, there were 0 cases of hematoma, 1 case of subcutaneous fluid, 1 case of urinary retention, 0 cases of scrotal fluid, and 0 cases of bladder injury. Laparoscopic surgery resulted in a lower incidence of postoperative complications versus traditional surgery (P <0.05). Conclusion. Laparoscopic totally extraperitoneal repair for inguinal hernia improves the intraoperative indices, mitigates postoperative pain, and reduces the risks of infections and complications, with the advantages of short operation duration, less hemorrhage volume, and shorter hospital stay. It shows great potential for clinical promotion.

Laparoscopic versus Open Inguinal Hernia Repair in Aging Patients: A Propensity Score Matching-Based Retrospective Study

“…Actually, numerous studies have shown the potential advantages of LIHR, such as faster recovery, reduced pain, and so on. 30 , 34–37 Specifically, LIHR and age were independent risk factors for relieving postoperative pain compared to OIHR, as presented in our study. In fact, patients also need to undergo general anesthesia if performed with LIHR, which may importantly affect the postoperative pain of the patient.…”

Laparoscopic versus open inguinal hernia repair in aging patients: A propensity score matching-based retrospective study

“…Actually, numerous studies have shown the potential advantages of LIHR, such as faster recovery, reduced pain, and so on [30,[34][35][36][37] . Speci cally, LIHR and age were independent risk factors for relieving postoperative pain compared to OIHR, as presented in our study.…”

Postoperative urinary leakage after bilateral totally extraperitoneal herniorrhaphy in a patient with a healed cystostomy and appendectomy: A case report

“…Numerous scientific reports, meta-analyses, prospective studies, and randomized trials have evaluated the effectiveness and safety of the TEP procedure. 1 , 3 , 4 , 8 , 9 The most common early complications after inguinal hernia repair are hematomas, seromas, urinary retention, and surgical site infection. Life-threatening complications rarely occur.…”

“…Laparoscopic totally extraperitoneal (TEP) herniorrhaphy has been widely used in laparoscopic repair of inguinal hernias. The complication rates associated with TEP herniorrhaphy are low, and bladder injuries during TEP repair are extremely rare 1 – 4 ; however, they are more common during endoscopic than open repair. 5 According to the International Endohernia Society (IEHS) guidelines, the estimated incidence of bladder injury ranges from 0.006% to 0.3%, and such injuries can be diagnosed intraoperatively and repaired endoscopically.…”