Laparoscopic repair of direct inguinal hernia: a new technique that reduces the development of postoperative seroma

Reddy, Venkat M.; Sutton, Christopher; Bloxham, Lisa; Garcea, Giuseppe; Ubhi, S. S.; Robertson, G. S. M.

doi:10.1007/s10029-007-0233-4

Cited by 83 publications

(59 citation statements)

References 14 publications

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“…Attempts to reduce the occurrence of seroma formation have included closed suction drainage of the preperitoneal space [3] or tacking the loose TF to the pubic ramus [4]. Both of these techniques are not without problems, as they can create extra discomfort to the patient, potentially increase the risk of infection, and also lead to chronic pubic bone pain from the tack staples or vasculo-nervous injury if Wxing the TF to the abdominal wall.…”

Section: Introductionmentioning

confidence: 98%

The Endoloop technique for the primary closure of direct inguinal hernia defect during the endoscopic totally extraperitoneal approach

Berney

2011

Hernia

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The primary closure of direct inguinal hernia defects with a pre-tied suture loop during endoscopic TEP repair is safe, efficient, and very reliable for the prevention of post-operative seroma formation, without increasing the risk of developing chronic groin pain or hernia recurrence. This technique should be the preferred method over stapling of the TF or the insertion of a closed suction drainage device in such a situation.

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Section: Introductionmentioning

confidence: 98%

The Endoloop technique for the primary closure of direct inguinal hernia defect during the endoscopic totally extraperitoneal approach

Berney

2011

Hernia

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“…28 Seroma developed early (within 1 month) though spontaneously resolved relatively quickly and occurred almost exclusively following repair of direct hernia in this study. This fact highlights the importance of inversion of fascia transversalis either by fixing it to pubic bone or by application of endoloop at the base of inverted fascia and amputating the redundant portion, 29,30 neither of which was performed in this study. Chronic pain developed late (by 6 months) and carried a rather protracted course, but resolved with counseling, analgesics and neuromodulating drugs like amitriptyline in vast majority of cases.…”

Section: Wjolsmentioning

confidence: 83%

A Comparative Randomized Parallel Group Study between the Classical TAPP Repair and Modified TAPP Surgical Method for Inguinal Hernia Repair

Ghosh¹

2014

WJOLS

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Objective: To compare equality of clinical outcome of simultaneous bilateral transabdominal preperitoneal (TAPP) repair of inguinal hernia by classical TAPP, with meticulous closure of peritoneal flap and modified TAPP, with peritoneal nonclosure and controlled release of pneumoperitoneum. Study to answer the research question-'is meticulous closure of peritoneal flap, the only way to provide adequate cover for the mesh in TAPP repair?' Summary and background data: The objective of meticulous closure of peritoneum is to prevent internal herniation while covering the mesh adequately to avoid contact between mesh and abdominal viscera. The study proposes same objective can also be achieved with nonclosure of peritoneum. Patients and methods: Between August 2011 and July 2012, 130 inguinal hernias of 65 patients who underwent TAPP repair were randomized in two groups. One group (n = 65) of hernias received classical repair with peritoneal closure (control), while the other (n = 65) without closure (study). The primary end points were bowel related complications and recurrence. Results: The two groups were comparable in age and types of hernia. Transabdominal preperitoneal was successfully done in all cases. No bowel-related complication and recurrence occurred in either group. Mean operating time was significantly less with modified TAPP (65 mins vs 76 mins, p < 0.05). Lower incidence of chronic pain (3 vs 13.84%, p = 0.007) and seroma (7.69 vs 15.38%) was achieved during mean follow-up of 628 days. Conclusion: The randomized prospective parallel group study demonstrated equality in clinical outcome on both primary end points by providing equivalent peritoneal cover for the mesh as meticulous peritoneal closure does in classical TAPP.

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“…Çalışmamızda, ameliyat sonrası erken dönemde inguinal bölgede şişlik şikâyeti ve fıtığın tekrarladığı endişesi ile başvuran 2 olguda seromaya bağlı psödonüks tespit edildi. Direkt herni nedeni ile onarım yapılan bu hastalarda, Reddy ve arkadaşlarının tarif ettiği gibi gevşek transvers fasya cebini inverte ederek cooper ligamanına fikse edilmemesinin psödonükse sebep olduğu düşüncesindeyiz [13].…”

Section: Laparoskopikunclassified

Hernia Repair Via Laparoscopic Transabdominal Preperitoneal (TAPP) Method: Our Clinical Outcomes in County State Hospital

Erdoğan¹,

Türkan²,

Kılınç³

et al. 2018

Acta Oncol Tur.

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İnguinal herni onarımı, genel cerrahide en sık yapılan ameliyatlardan birisidir. Çok sayıda yöntem tanımlanmıştır. Laparoskopik fıtık onarımı 1990'lı yıllardan sonra yapılmaya başlanmış ve birçok merkez tarafından benimsenmiştir. Çalışmamızın amacı, ilçe devlet hastanesinde yaptığımız laparoskopik transabdominal preperitoneal fıtık onarımı sonuçlarımızı literatür eşliğinde değerlendirmektir. YÖNTEM ve GEREÇLER: Kasım 2015-Ağustos 2017 tarihleri arasında laparoskopik transabdominal preperitoneal yöntem ile inguinal herni onarımı yapılan hastaların sonuçları retrospektif olarak incelendi. BULGULAR: 30'u erkek, 3'ü kadın olmak üzere 33 hasta çalışmaya dahil edildi. Yaş ortanca değeri 46(19 ile 75 arası) idi. 18(%54,6) hastada sağ, 4(%12,1) hastada sol ve 11(%33,3) hastada bilateral herni olmak üzere toplam 44 onarım yapıldı. Hastanede kalış süresi ortalama 1,09(±0,29) gün ve 1 ile 2 arasında idi. Ameliyat sonrası 2(%6,1) hastada psödonüks(seroma), 1(%3) hastada hematom, 2(%6,1) hastada orşit gözlendi. Hastaların takip süresi 6 ile 27 ay arası olup ortalama 13,76(±5,84) idi. 33 hastanın takibinde 1(%3,1) hastada nüks tespit edildi. TARTIŞMA ve SONUÇ: Laparoskopik fıtık onarımının; küçük kesiler yapılması, daha erken iyileşme, daha az ağrı ve günlük aktiviteye erken dönüş sağlaması gibi avantajları olduğu bilinmektedir. Ancak öğrenme süreci açık yönteme göre daha uzundur. Uzmanlık eğitiminde veya daha sonraki süreçte laparoskopik yöntemin eğitimini alan kişilerde nüks oranında farklılık gözlenmediği bildirilmiştir. Sonuç olarak laparoskopik yöntem eğitimini almış kişiler tarafından ilçe hastanelerinde de bu yöntemin güvenle yapılabileceği kanatindeyiz.

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Laparoscopic repair of direct inguinal hernia: a new technique that reduces the development of postoperative seroma

Abstract: Inversion of the TF is associated with a statistically lower incidence of postoperative seroma, without increasing postoperative pain despite the use of one or two additional tacks.

Cited by 83 publications

References 14 publications

The Endoloop technique for the primary closure of direct inguinal hernia defect during the endoscopic totally extraperitoneal approach

The Endoloop technique for the primary closure of direct inguinal hernia defect during the endoscopic totally extraperitoneal approach

A Comparative Randomized Parallel Group Study between the Classical TAPP Repair and Modified TAPP Surgical Method for Inguinal Hernia Repair

Hernia Repair Via Laparoscopic Transabdominal Preperitoneal (TAPP) Method: Our Clinical Outcomes in County State Hospital

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