Laparoscopic Hernia Repair in Patients with Bilateral Groin Hernias

Kald, Anders; Domeij, Erica; Landin, Susanna; Wirén, Mikael; Anderberg, B

doi:10.1080/110241500750009294

Cited by 22 publications

(3 citation statements)

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“…When comparing our results to those of other endoscopic series [4,11,13,15] or open repair techniques [1,18,22,23], one has to take into consideration that we do not preselect patients, as demonstrated by the ages and BMI of our patients and the incidence of complex hernial situations. Our analysis contains all consecutive patients operated in our clinic since the first laparoscopic hernioplasty.…”

Section: Discussionmentioning

confidence: 92%

“…Encouraged by the first reports from Dulucq [5] [total extraperitoneal patch (TEP) and Arregui et al [2] [transabdominal preperitoneal patch (TAPP)], surgeons began to use these techniques and published good results in larger series [9, 14] and multicenter trials [10] in which simultaneous bilateral repairs were also performed. Several studies are available that eminently prove the efficacy of bilateral endoscopic hernia repair, whereby the majority of study centers used exclusively the extraperitoneal approach and a single large mesh to cover both inguinal regions, in accordance with the original Stoppa procedure [11,13,15].…”

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confidence: 99%

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Simultaneous bilateral laparoscopic inguinal hernia repair

et al. 2001

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Section: Discussionmentioning

confidence: 92%

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confidence: 99%

Simultaneous bilateral laparoscopic inguinal hernia repair

et al. 2001

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“…With the improvement of laparoscopic techniques for inguinal hernias repairs, using both the TAPP and TEP approaches, the best results of laparoscopic techniques were obtained with bilateral inguinal hernias. [ 10 11 ]…”

Section: Discussionmentioning

confidence: 99%

Early assessment of bilateral inguinal hernia repair: A comparison between the laparoscopic total extraperitoneal and Stoppa approaches

Damous

et al. 2016

J Min Access Surg

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BACKGROUND:The present clinical trial was designed to compare the results of bilateral inguinal hernia repair between patients who underwent the conventional Stoppa technique and laparoscopic total extraperitoneal repair (LTE) with a single mesh and without staple fixation.PATIENTS AND METHODS:This controlled, randomised clinical trial was conducted at General Surgery and Trauma of the Clinics Hospital, Medical School, the University of São Paulo between September 2010 and February 2011. Totally, 50 male patients, with a bilateral inguinal hernia, older than 25 years were considered eligible for the study. The following parameters were analysed during the early post-operative period: (1) The intensity of surgical trauma, operation time, C-reactive protein (CRP) levels, white blood cell count, bleeding and pain intensity; (2) quality of life assessment; and (3) post-operative complications.RESULTS:LTE procedure was longer than the Stoppa procedure (134.6 min ± 38.3 vs. 90.6 min ± 41.3; P < 0.05). The levels of CRP were higher in the Stoppa group (P < 0.05) but the number of leucocytes, haematocrit, and haemoglobin were similar between the groups (P > 0.05). There was no difference in pain during the 1st and 7th post-operative, physical functioning, physical limitation, the impact of pain on daily activities, and the Carolinas Comfort Scale during the 7th and 15th post-operative (P > 0.05). Complications occurred in 88% of Stoppa group (22 patients) and 64% in LTE group (16 patients) (P < 0.05).CONCLUSION:The comparative study between the Stoppa and LTE approaches for the bilateral inguinal hernia repair demonstrated that: (1) The LTE approach showed less surgical trauma despite the longer operation time; (2) Quality of life during the early post-operative period were similar; and (3) Complication rates were higher in the Stoppa group.

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