Laparoscopic repair of recurrent inguinal hernias

Sandbichler, P.; Draxl, Hermann; Gstir, H.; Fuchs, Hermann; Furtschegger, A.; Egender, G.; Steiner, E

doi:10.1016/s0002-9610(97)89644-4

Cited by 51 publications

(28 citation statements)

References 10 publications

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“…All our operations were carried out under general anesthesia. Our median operating times (50 min for unilateral and bilateral hernias) also accord with those cited in the literature (40-79 min) [4,20,23,26,[30][31][32][33]. Peritoneal defects occurred in 44% of our cases.…”

Section: Discussionsupporting

confidence: 87%

“…Due to the weakened connective tissue associated with inguinal hernias, particularly recurrent hernias, the surgical approach is difficult. A number of publications have demonstrated the advantages of laparoscopic and endoscopic surgical techniques [7,11,17,19,20,30,31,33,37,38], with some of these authors identifying TEP as the method of choice for recurrent hernias.…”

Section: Abstract: Totally Extraperitoneal Repair -Recurrent Inguinamentioning

confidence: 99%

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Totally extraperitoneal repair of recurrent inguinal hernia

et al. 2003

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Although for its definitive management, recurrent hernia requires a reliable operative technique, current data do not support the recommendation of any of the currently available procedures as the gold standard. In a representative patient population with recurrent hernia, we were able to demonstrate that TEP achieves very good results in terms of re-recurrence rate, intraoperative and postoperative complications, and rehabilitation. Prerequisites for the reliable and low-complication application of the method are a high level of standardization of the procedure and an advanced learning curve.

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Section: Discussionsupporting

confidence: 87%

Section: Abstract: Totally Extraperitoneal Repair -Recurrent Inguinamentioning

confidence: 99%

Totally extraperitoneal repair of recurrent inguinal hernia

et al. 2003

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“…On the other hand, some researchers have reported that the rerecurrence rate after the laparoscopic TEP repair of a recurrent hernia is low. 5,[7][8][9] We designed this study to determine the safety and effectiveness of performing laparoscopic TEP repair for recurrent inguinal hernia.…”

Section: Introductionmentioning

confidence: 99%

The Safety and Effectiveness of Laparoscopic Total Extraperitoneal (TEP) Repair for Recurrent Inguinal Hernia After Open Hernioplasty

Choi

Kim

Hur

2010

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Background: Many studies have reported that laparoscopic total extraperitoneal (TEP) repair for recurrent inguinal hernia after an open hernioplasy was safe and effective. This study was conducted to evaluate TEP repair for recurrent inguinal hernia through a retrospective analysis of our data. Materials and Methods: We performed a retrospective analysis of the medical records of patients who were scheduled for laparoscopic TEP repair from December 2000 to December 2008. A total of 1065 cases of laparoscopic TEP repairs were performed for 944 patients by a single surgeon, and 100 cases of recurrent inguinal hernias were enrolled. Results: The mean operation time was longer in the recurrent hernia group than that in the primary hernia group (P < 0.001), and peritoneal tearing occurred more frequently in the recurrent hernia group (P < 0.001). Direct hernia was more frequent in the recurrent hernia group (P < 0.001). The mean number of hospital days and complications, such as seroma and postoperative pain, were similar in both groups. Three cases of recurrence occurred (0.28%): 2 occurred in the recurrent hernia group (2%) and the other occurred in the primary hernia group (0.1%). Conclusions: Laparoscopic TEP repair is safe and effective for treating recurrent inguinal hernia after an open hernioplasty, because the recurrence rate was low (2%) and other complications were similar for both groups. Direct inguinal hernia was more frequent in patients who had recurrent inguinal hernia.

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“…By comparison, the laparoscopic/endoscopic technique with mesh placement has a very low recurrence rate [9,21]. The laparoscopic/ endoscopic technique can be applied to recurrent hernias, even in difficult cases, with a low morbidity rate [22]. Several laparoscopic techniques have been introduced to repair inguinal hernia, the latest and most promising being a totally extraperitoneal approach [23].…”

Section: Discussionmentioning

confidence: 99%

Repair of Inguinal Hernias Using the Mesh Technique during Extraperitoneal Pelvic Lymph Node Dissection

et al. 2001

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Purpose: This article describes our experience of using a totally extraperitoneal approach for endoscopic pelvic lymphadenectomy and inguinal hernia repair with the mesh technique in one procedure. Materials and Methods: A total of 52 patients underwent modified pelvic lymph node dissection for the staging of prostate cancer. Eight of them had hernia defects; 1 was recurrent. Five patients with direct and 3 patients with indirect inguinal hernias were treated by totally extraperitoneal hernia repair with the placement of a mesh measuring at least 10 × 15 cm (prolene mesh with incision and flap). Results: The mean duration of the lymphadenectomy itself was decreased from 150 min (first 20 patients) to 70 min (n = 21–52). The mean additional procedure time for hernioplasty was 15 min. The overall lymph node-positive rate was 9.6%. The complication rate was 7.7%. Four patients developed symptomatic lymphoceles, 1 of whom developed deep venous thrombosis. No complications occurred which were attributed to hernia repair. Morbidity did not rise, and hospitalization time did not increase for the patients who underwent hernioplasty. There were no recurrences or neuralgias on follow-up up to 2 years. Conclusions: By avoiding entry into the peritoneal cavity, the extraperitoneal approach obviates intra-abdominal complications (ileus, bowel injury, peritonitis) in both techniques. The extraperitoneal approach for pelvic lymph node dissection allows concomitant inguinal hernia to be repaired with low morbidity and within an acceptable operating time.

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Laparoscopic repair of recurrent inguinal hernias

Cited by 51 publications

References 10 publications

Totally extraperitoneal repair of recurrent inguinal hernia

Totally extraperitoneal repair of recurrent inguinal hernia

The Safety and Effectiveness of Laparoscopic Total Extraperitoneal (TEP) Repair for Recurrent Inguinal Hernia After Open Hernioplasty

Repair of Inguinal Hernias Using the Mesh Technique during Extraperitoneal Pelvic Lymph Node Dissection

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