Laparoscopic Inguinal Hernia Repair

LeBlanc, Karl A.; Allain, Brent W.; Streetman, William C.

doi:10.1007/978-1-84882-877-3_16

Cited by 4 publications

(5 citation statements)

References 49 publications

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“…Furthermore, we used a composite clinical reference standard which entails the risk of over- or underestimation of the diagnostic test accuracy, can introduce verification bias, and affects the translation of our findings into a broader clinical setting. However, in the absence of a perfect reference standard we defined our reference standard based on current clinical practice guidelines for the diagnosis of inguinal hernia [ 5 , 20 ]. The hernia size and European Hernia Society (EHS) groin hernia classification [ 5 ] was not consistently reported in the operative reports.…”

Section: Discussionmentioning

confidence: 99%

“…In those patients who had undergone surgery, the intraoperative findings were used as a reference standard. In the others, a combination of clinical examination findings according to current guidelines [ 5 , 20 ], another imaging modality (either US or MRI), and clinical follow-up of at least 2 years was used as a reference standard. Abdominal surgeons from our hospital performed all surgical hernia repairs.…”

Section: Methodsmentioning

confidence: 99%

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Diagnostic performance of CT with Valsalva maneuver for the diagnosis and characterization of inguinal hernias

Ghafoor,

Tognella,

Stocker

et al. 2023

Hernia

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Purpose Inguinal hernias are mainly diagnosed clinically, but imaging can aid in equivocal cases or for treatment planning. The purpose of this study was to evaluate the diagnostic performance of CT with Valsalva maneuver for the diagnosis and characterization of inguinal hernias. Methods This single-center retrospective study reviewed all consecutive Valsalva-CT studies between 2018 and 2019. A composite clinical reference standard including surgery was used. Three blinded, independent readers (readers 1–3) reviewed the CT images and scored the presence and type of inguinal hernia. A fourth reader measured hernia size. Interreader agreement was quantified with Krippendorff’s α coefficients. Sensitivity, specificity, and accuracy of Valsalva-CT for the detection of inguinal hernias was computed for each reader. Results The final study population included 351 patients (99 women) with median age 52.2 years (interquartile range (IQR), 47.2, 68.9). A total of 381 inguinal hernias were present in 221 patients. Sensitivity, specificity, and accuracy were 85.8%, 98.1%, and 91.5% for reader 1, 72.7%, 92.5%, and 81.8% for reader 2, and 68.2%, 96.3%, and 81.1% for reader 3. Hernia neck size was significantly larger in cases correctly detected by all three readers (19.0 mm, IQR 13, 25), compared to those missed by all readers (7.0 mm, IQR, 5, 9; p < 0.001). Interreader agreement was substantial (α = 0.723) for the diagnosis of hernia and moderate (α = 0.522) for the type of hernia. Conclusion Valsalva-CT shows very high specificity and high accuracy for the diagnosis of inguinal hernia. Sensitivity is only moderate which is associated with missed smaller hernias.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Diagnostic performance of CT with Valsalva maneuver for the diagnosis and characterization of inguinal hernias

Ghafoor,

Tognella,

Stocker

et al. 2023

Hernia

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“…The risk factors for inguinal hernia include family history, previous contralateral hernia, male sex, age, abnormal collagen metabolism, prostatectomy, and low body mass index. [2][3][4] It can be repaired surgically, either open or minimally invasive. Single incision laparoscopic totally extraperitoneal hernioplasty (SIL-TEP) is a single-incision laparoscopic totally extraperitoneal hernioplasty technique for repairing inguinal hernias using a single port.…”

Section: Introductionmentioning

confidence: 99%

Lateral single incision laparoscopic totally extraperitoneal hernioplasty (L-SILTEP) after laparoscopic radical prostatectomy: A rare case report with literature review

Wang

Tang

et al. 2023

Medicine

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Introduction: Single-incision laparoscopic totally extraperitoneal hernioplasty is a commonly used surgical procedure for the treatment of inguinal hernia. However, it is difficult to use traditional single incision laparoscopic totally extraperitoneal hernioplasty to treat inguinal hernia after laparoscopic radical prostatectomy. We successfully and smoothly cured a patient with left inguinal hernia after laparoscopic radical prostatectomy using lateral single incision laparoscopic totally extraperitoneal hernioplasty. Case presentation: We report the case of a 70-year-old man who underwent laparoscopic radical prostatectomy 2 years earlier and had an evanescent mass in the left inguinal region for 1 month. Diagnosis: On the basis of preoperative abdominal computed tomography and intraoperative findings, the patient was diagnosed with a left indirect inguinal hernia, and post-laparoscopic radical prostatectomy. Interventions: The patient underwent lateral single incision laparoscopic totally extraperitoneal hernioplasty. Outcomes: The patient recovered well after the operation, and there were no postoperative complications or recurrence of inguinal hernia 3 months after the operation. Conclusion: For patients who have undergone laparoscopic radical prostatectomy, lateral single-incision laparoscopic totally extraperitoneal hernioplastycan be performed.

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“…Family history of groin hernia, chronic obstructive pulmonary disease, smoking, high body mass index, collagen disorders, increased intra-abdominal pressure, patent processes vaginalis, previous appendectomy, and peritoneal dialysis are among the risk factors for inguinal hernia [ 4 ]. Although inguinal hernia typically presents as an asymptomatic bulge in the groin, some patients occasionally present with groin pain that worsens by the end of the day, increasing the size of the bulge, or experiencing a dragging sensation [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Outcomes of Open Versus Laparoscopic Technique in Primary Inguinal Hernia Repair: A Retrospective Study

Alharthi,

Almontashri,

Alsharif

et al. 2023

Cureus

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Inguinal hernia repair is one of the most common surgical procedures worldwide. In clinical practice, there are two different routes to repair inguinal hernias: laparoscopic mesh repair and open. Reducing the hernia and preventing recurrence remains the mainstay treatment option of both procedures. This study aims to compare postoperative outcomes and recurrence rates for patients who had primary, non-recurrent, laparoscopic, or open hernia repair in a single tertiary hospital. A retrospective cohort study was done on 468 patients. The study was conducted at King Abdulaziz University Hospital (KAUH) between 2013 and 2022. The distribution of our study population was divided into open hernia repair 378 participants (80.8%) while the rest did laparoscopic hernia repair 90 (19.2%). Operation duration in minutes was 107.158 ± 41.402 in the open hernia repair group and was noted to be significantly higher in the laparoscopic hernia repair group, with 142.811 ± 52.102 minutes p-value (0.000). The hospital length of stay was shown to be shorter in laparoscopic hernia repair (1.58 ±1.27) compared to open hernia repair (2.05±5.33). The most common postoperative complication was scrotal swelling, commonly associated with laparoscopic (5.55%) compared to 2.11% in open hernia repair. Open repair showed a risk of scrotal hematoma with a percentage of 0.52% compared to 0% in the laparoscopic method with a p-value (0.033). Hernia recurrence was non-related with any specific group, although noted to be higher in the laparoscopic group (7.77%), while in the open group (3.4%) with a p-value (0.081). The study conducted showed no alarming percentages for recurrence in either technique, open or laparoscopic, yet the open approach had a better outcome when it comes to scrotal pain and swelling post-operatively, chronic groin pain, and readmission rate as compared to laparoscopic technique, despite having a longer hospital stay. Future larger studies should be conducted to provide equal population inclusivity.

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Laparoscopic Inguinal Hernia Repair

Cited by 4 publications

References 49 publications

Diagnostic performance of CT with Valsalva maneuver for the diagnosis and characterization of inguinal hernias

Diagnostic performance of CT with Valsalva maneuver for the diagnosis and characterization of inguinal hernias

Lateral single incision laparoscopic totally extraperitoneal hernioplasty (L-SILTEP) after laparoscopic radical prostatectomy: A rare case report with literature review

Outcomes of Open Versus Laparoscopic Technique in Primary Inguinal Hernia Repair: A Retrospective Study

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