Lap Aroscopic Inguinal Herniorrhaphy: Techniques and Controversies

Arregui, Maurice E.; Navarrete, Jorge; Davis, Chad; Castro, Daniel; Nagan, Robert F.

doi:10.1016/s0039-6109(16)46034-2

Cited by 115 publications

(37 citation statements)

References 7 publications

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“…The technique most frequently used today is the transabdominal preperitoneal (TAPP) one 10,11 and its main complications are seromas, hematomas and bladder intrusion 12 . A biosynthetic prosthesis made of latex extracted from Hevea brasilienses, to which the synthetic protein polylysine was added, was described in 1996.…”

Section: Introductionmentioning

confidence: 99%

Morphologic evaluation of the use of a latex prosthesis in videolaparoscopic inguinoplasty: an experimental study in dogs

Sousa¹,

Ceneviva²,

Netto³

et al. 2011

Acta Cir. Bras.

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PURPOSE:To evaluate the morphological aspects of the behavior of 4 types of latex biomembranes implanted in preperitoneal videolaparoscopic inguinoplasty. METHODS: Sixteen inguinoplasties were performed in 12 dogs: group 1 received an impermeable latex biomembrane in the right inguinal region and a prolene prosthesis, as control, in the contralateral inguinal region; groups 2, 3 and 4 received latex biomembranes respectively containing impermeable polyamide, 1-mm thick porous polyamide and 0.5-mm thick porous polyamide. Macro-and microscopic evaluations of the inguinal region and of the removed implants were made on the 7 th , 14 th , 21 st and 28 th days in group 1 and on the 28 th postoperative day in the other groups. RESULTS: We observed absence of hematoma, seroma and infection; presence of tortuosities; induction of vascular neoformation, inflammatory reaction and collagen deposition, and full encystment of the latex biomembranes, except that with fine porous polyamide, which was partially incorporated, with the formation of microcysts. No latex biomembrane induced fibrosis as observed in the prolene control group. CONCLUSIONS: The biomembranes maintain induction of the healing process without fibrosis, are fully encysted and, except for the one with fine porous polyamide, are not incorporated into adjacent tissues. The latex biomembrane, with or without polyamide, is not recommended as a separate material for preperitoneal inguinoplasty.

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Section: Introductionmentioning

confidence: 99%

Morphologic evaluation of the use of a latex prosthesis in videolaparoscopic inguinoplasty: an experimental study in dogs

Sousa¹,

Ceneviva²,

Netto³

et al. 2011

Acta Cir. Bras.

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“…Besides its well-established values such as minimal invasiveness, lack of wound, quick recovery to normal activity, and short postoperative hospitalization, laparoscopy enables perfect inspection of the abdominal wall, proper localization, and effective repair of the real defect. The technique proposed by Arrequi et al [4], which consists of incision of the peritoneal hernial sac, separating it from the abdominal wall, creating the space, inserting the synthetic mesh into it, and fastening it to the Cooper ligament and abdominal wall with endo clips, ensures the likelihood of preventing recurrence. In the paper by Arrequi et al [4], the incidence of recurrence is less than 2%.…”

Section: Discussionmentioning

confidence: 99%

“…The technique proposed by Arrequi et al [4], which consists of incision of the peritoneal hernial sac, separating it from the abdominal wall, creating the space, inserting the synthetic mesh into it, and fastening it to the Cooper ligament and abdominal wall with endo clips, ensures the likelihood of preventing recurrence. In the paper by Arrequi et al [4], the incidence of recurrence is less than 2%. Additionally this technique enables restoration of the abdominal continuity in a tension-free manner approximating hernial ring edges in a similar way as described by Stoppa and Warlaumont [5]or Lichtenstein et al [6].…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Parapubic Postprostatectomy Hernia

Matuszewski

Stanek²,

H³

et al. 1999

European Urology

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“…6 Arregui described the transabdominal preperitoneal prosthetic (TAPP) procedure as a method for repair for inguinal hernias. 6,7 TAPP procedure includes creation of pneumoperitoneum, inspection of inguinal orifice on both the sides, incising the peritoneum and gaining access to preperitoneal layer. Myopectineal orifice of fruchard is defined and hernia sac tackled.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

2017

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Background: The two common procedures which are nowadays commonly performed for laparoscopic repair of inguinal hernia are transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP) mesh repair. This retrospective study was aimed to compare these two, TAPP and TEP laparoscopic approaches for inguinal hernia repair in terms of various outcomes.Methods: In this retrospective study, we included 50 cases of inguinal hernia who underwent laparoscopic approach of inguinal hernia repair at Saveetha medical college and hospital between 2014 and 2016 for a duration of 3 years. Various parameters including the age, sex of patient, type of hernia, preoperative and post-operative complications, duration of hospital stay was analysed.Results: Of the 50 patients who underwent laparoscopic repair, 26 patients underwent TEP and 24 patients under went TAPP procedure. 31 cases were indirect inguinal hernias and 30 cases were direct inguinal hernias, totalling 61 hernia repairs, as 11 patients had bilateral hernia. One female inguinal hernia and 4 cases of recurrent hernia were operated by TAPP method. Postoperative complications like seroma formation; subcutaneous emphysema was seen in TEP group. Two cases of TEP were converted to TAPP and open lichenstein procedure. Postoperative pain was less in both the group. Patients who underwent TEP procedure spent less time in the hospital compared to those who underwent TAPP procedure.Conclusions: There is no major difference in the outcome after TEP and TAPP surgeries except for some minor complications and the results are comparable in both techniques TAPP and TEP. Both the procedures can be practiced according to surgeon’s familiarity of the procedure.

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Lap Aroscopic Inguinal Herniorrhaphy: Techniques and Controversies

Cited by 115 publications

References 7 publications

Morphologic evaluation of the use of a latex prosthesis in videolaparoscopic inguinoplasty: an experimental study in dogs

Morphologic evaluation of the use of a latex prosthesis in videolaparoscopic inguinoplasty: an experimental study in dogs

Laparoscopic Treatment of Parapubic Postprostatectomy Hernia

A comparative study of totally extraperitoneal versus transabdominal preperitoneal repair of inguinal hernias

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