Laparoscopic transabdominal preperitoneal approach for inguinal hernia repair: A five-year experience at a single center

Perko, Zdravko; Rakić, Mislav; Pogorelić, Zenon; Družijanić, Nikica; Kraljević, Jasenka

doi:10.1007/s00595-010-4266-4

Cited by 16 publications

(15 citation statements)

References 29 publications

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“…Laparoscopic hernia repair is also associated with shorter hospital stay, faster recovery, earlier return to normal activities (3,9). Better cosmetic results (4), possibilities to detect a contralateral inguinal defect and repair it through the same incision at the same time are the advantages of laparoscopic surgery too (9).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Better cosmetic results (4), possibilities to detect a contralateral inguinal defect and repair it through the same incision at the same time are the advantages of laparoscopic surgery too (9). The disadvantages of laparoscopic surgery include requirement of general anaesthesia, longer operative time and learning curve (5,8,10,11), more expensive equipment (9). Findings of our study show that the operating time is longer for laparoscopic approach but this difference is clinically insignificant, however, the pain score for laparoscopic surgery was significantly lower according to VAS on day 1, 2, 3, the patients in the laparoscopic group required significantly lower doses of narcotic analgesics and nonsteroidal anti-inflammatory drugs, and the postoperative hospital stay was shorter after laparoscopic repair.…”

Section: Discussionmentioning

confidence: 99%

“…One more advantage of the laparoscopic technique is ability to detect a contralateral inguinal defect and repair it through the same incision at the same time (9). Laparoscopic procedure, however, requires general anaesthesia; operative time and learning curve are longer (5,8,10,11 (12).…”

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confidence: 99%

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Laparoscopic Versus Open Repair of Inguinal Hernia

et al. 2017

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SummaryBackground and objective. Inguinal hernia repair is one of the most common general surgery procedures. Laparoscopic repair is technically more demanding, though it has been shown to be superior in terms of pain and discomfort, however, there is no apparent difference in recurrence between laparoscopic and open mesh methods of hernia repair. Over the years we see a relatively slow increase of laparoscopic procedures and even scepticism of the patients; thus we decided to test the hypothesis that more demanding and costly laparoscopic surgery has little benefits over the open procedure. The aim of our study was to compare postoperative pain, short-and long-term outcomes after laparoscopic hernia repair and conventional open hernia repair. Results. Laparoscopic procedure was significantly more often performed for the patients, who were younger, had shorter history of disease. The mean operative time for laparoscopic inguinal hernia repair was significantly longer than for open repair (p=0.02). The pain score for laparoscopic surgery was significantly lower according to VAS on day 1, 2, 3 (overall p≤ 0.002). The patients in the laparoscopic group required significantly lower doses of narcotic analgesics on the third postoperative day; the doses of nonsteroidal anti-inflammatory drugs were also significantly lower on the second and third postoperative day in this group. The postoperative hospital stay was shorter after laparoscopic repair (p=0.01). Sixty-four patients (71.11%) completed follow-up at one year after the operation. Nine (14.06%) of them had postoperative complications and eight of them were after open hernia repair. Two patients (3.1%) were re-operated (both patients were treated by Lichtenstein hernioplasty): one for inguinal hernia recurrence, another for testicular necrosis. Conclusions. The patients from laparoscopic group had significantly shorter postoperative pain duration (p=0.019), returned to daily activity slightly earlier and had better satisfaction with the operation comparing with the patients who undergone open surgery (p=0.915, p=0.893), but the duration of the sick leave (time off from work) was similar in both hernia repair group (p=0.260). Data shows that laparoscopic hernia repair has advantages in terms of post-operative pain intensity and duration, as well as risk of complications and patient satisfaction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

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Laparoscopic Versus Open Repair of Inguinal Hernia

et al. 2017

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“…Several studies have demonstrated the advantages of laparoscopic over open repair with regard to reduced postoperative pain and a lower need for analgesia, an earlier return to physical activity, and better cosmetic results [3,5]. Seromas and hematomas are commonly seen complications after laparoscopic hernia repair.…”

Section: Discussionmentioning

confidence: 99%

Digital evaluation of the muscle functions of the lower extremities among inguinal hernia patients treated using three different surgical techniques: a prospective randomized study

et al. 2011

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Use of a digital environment with numerical parameters and measurements recorded using a dynamometer demonstrated that in the early postoperative period and on the third postoperative day, open surgery causes more functional loss in the lower extremities than laparoscopic methods. Therefore, surgeons should use laparoscopic methods whenever possible to reduce both pain and loss of muscle function.

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Bilateral Endoscopic Total Extraperitoneal (TEP) Inguinal Hernia Repair Does not Induce Obstructive Azoospermia: Data of a Retrospective and Prospective Trial

Schäfer

2011

World j. surg.

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Laparoscopic transabdominal preperitoneal approach for inguinal hernia repair: A five-year experience at a single center

Cited by 16 publications

References 29 publications

Laparoscopic Versus Open Repair of Inguinal Hernia

Laparoscopic Versus Open Repair of Inguinal Hernia

Digital evaluation of the muscle functions of the lower extremities among inguinal hernia patients treated using three different surgical techniques: a prospective randomized study

Bilateral Endoscopic Total Extraperitoneal (TEP) Inguinal Hernia Repair Does not Induce Obstructive Azoospermia: Data of a Retrospective and Prospective Trial

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