Laparoscopic Versus Open Repair of Inguinal Hernia

Fegade, Snehal

doi:10.5005/jp-journals-10007-1046

Cited by 16 publications

(17 citation statements)

References 16 publications

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“…Hence, the presence of the slightest collection was reported. Another possibility is meticulous dissection of sac done to prevent early recurrences could have caused more seromas [22]. But patient cosmesis perception was the same in both groups, probably because development of small seroma does not affect cosmesis.…”

Section: Seroma and Hematomamentioning

confidence: 98%

Comparison of the Clinical Outcome and Complications in Laparoscopic Hernia Repair of Inguinal Hernia With Mesh Fixation Using Fibrin Glue vs Tacker

Chandra¹,

Phalgune²,

Shah³

2015

Indian J Surg

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Although laparoscopic repair offers a quick and less morbid way of treating hernias, complications like hematoma, seroma, neuralgia, recurrence, mesh infection, hydrocele, etc. are known. The present study was undertaken to compare various clinical outcomes between mesh fixation using fibrin glue and mesh fixation with tacker in a 3-months follow-up. One hundred patients aged 18 to 60 years having inguinal hernia admitted in Poona Hospital and Research Centre, Pune, between October 2012 and November 2014 for laparoscopic hernia surgery and ready to participate in this study were included. All of them underwent laparoscopic repair of hernia by total extra peritoneal (TEP) method following sample surgical protocol in all of them except for method of mesh fixation. Mean time calculated from insertion of the first trocar to beginning of skin suturing was 54.9 min in tacker group and 50.3 min in fibrin glue group with no statistically significant difference between the two. The incidence of urinary retention was significantly higher in tacker (34 %) as compared to fibrin glue (12 %) group. Incidence of hematoma was significantly higher in tacker group in 15-day follow-up, but there was no significant difference in hematoma formation at hernial sites in both groups after 15 days of follow-up. The incidence of neuralgia was significantly higher in the tacker group (24 %) compared with the fibrin glue group (2 %). Significantly, more number of people in the fibrin glue group 68 and 90 %, respectively, returned to work during 15 and 30 days follow-up as compared to the tacker group 46 and 64 %. Fibrin glue can be considered as an alternative to tacker for mesh fixation.

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Section: Seroma and Hematomamentioning

confidence: 98%

Comparison of the Clinical Outcome and Complications in Laparoscopic Hernia Repair of Inguinal Hernia With Mesh Fixation Using Fibrin Glue vs Tacker

Chandra¹,

Phalgune²,

Shah³

2015

Indian J Surg

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“…Similarly the complication rate of wound seroma (8.5%) is also similar. They also mentioned the reduced overall cost in comparison to open surgery [4][5][6] .…”

Section: Resultsmentioning

confidence: 99%

“…Cases of hernias with patent processus vaginalis in boys aged 16, were treated by herniotomy at deep ring by z-suture alone in other studies. However, we performed it by formal TEP and mesh fi xation¹ [3][4][5][6][7][8][9][10][11][12][13][14][15][16] .…”

Section: Resultsmentioning

confidence: 99%

“…Minimally invasive procedures were a plug and patch repair, intra peritoneal onlay mess repair, transabdominal preperitoneal(TAPP) and totally extraperitoneal(TEP). These days most common repairs are placement of synthetic mesh in the pre peritoneal space through the abdomen (TAPP) or totally extra pre peritoneal approach (TEP) 5,6 .…”

mentioning

confidence: 99%

“…The laparoscopic totally extra peritoneal inguinal hernia repair (TEP) does not enter the peritoneal cavity and reduces the risk of visceral injury, adhesion formation and the development of port site hernia 6,7 . This study evaluates TEP hernioplasty in terms of operative time, hospital stay and complications in patients in Kathmandu Medical College Teaching Hospital.…”

mentioning

confidence: 99%

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Laparoscopic totally extra peritoneal (TEP) inguinal hernia repair: A series of 47 cases

Shrestha

2017

J. Kathmandu Med. Coll.

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Background: Over the past years, several surgical techniques have been evolved, among which total extraperitoneal inguinal hernia repair is the laparoscopic technique which is more popular now. Objective: To evaluate the outcome of totally extra peritoneal laparoscopic hernioplasty in terms of operation time, hospital stay and complications. Methods: The prospectively designed descriptive study was carried out at Department of Surgery Unit III, Kathmandu Medical College Teaching Hospital from February 2014 to April 2015. Forty seven consecutive patients above 15 years of age underwent totally extra peritoneal repairs for inguinal hernias. The selection criteria were reducible primary or recurrent, unilateral, direct and indirect inguinal hernias. All the relevant details of each patient were noted subsequently and analyzed statistically using Statistical Program for Social Sciences (SPSS) version 15. Results: The mean age of patient was 49±2.5 years. The mean operation time was 65±5.3 minutes. There were no serious complications except four (8.5%) cases of groin seroma which resolved after single time aspiration. Three (6.3%) cases had developed recurrence, two (4.2%) had developed hydrocele in a median follow up period of 6±1.5 (range, 3-9months). The mean inpatient hospital stay was 1.7±0.2 (range, 1-2.4days). Conclusion: Total extra peritoneal hernioplasty is safe and feasible with acceptable complications and recurrence rates.

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