Repeat Laparoscopic Totally Extraperitoneal Hernia Repair After Primary Laparoscopic Totally Extraperitoneal Hernia Repair for Inguinal Hernia

Uchida, Hajime; Matsumoto, Toshifumi; Endo, Yuichi; Kusumoto, Tetsuya; Kitano, Seigo

doi:10.1089/lap.2010.0257

Cited by 4 publications

(2 citation statements)

References 16 publications

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“…This becomes most noticeable if a balloon dilator was used at the previous TEP repair. To the best of our knowledge, despite an extensive literature search, this problem regarding contralateral TEP after TEP is rarely reported in the literature 12. This suggests that surgeons who did not use a balloon dilator during the previous TEP repair may not encounter these dense adhesions during subsequent contralateral TEP repairs.…”

Section: Discussionmentioning

confidence: 98%

“…To the best of our knowledge, despite an extensive literature search, this problem regarding contralateral TEP after TEP is rarely reported in the literature. 12 This suggests that surgeons who did not use a balloon dilator during the previous TEP repair may not encounter these dense adhesions during subsequent contralateral TEP repairs. We used a kidney-shaped balloon dilator to create the operative field in the preperitoneal space until 2019 2 because this technique has the advantages of simplicity and speed.…”

Section: Discussionmentioning

confidence: 99%

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Laparoscopic Totally Extraperitoneal (TEP) Groin Hernia Repair in Patients After Contralateral TEP Groin Hernia Repair

Zuiki

Ohki²,

Miyahara³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: The totally extraperitoneal (TEP) repair for groin hernia is considered difficult in patients with a healed surgical scar in the lower abdomen. We reported the feasibility of repair in those patients and found that the most frequent previous procedure in patients for whom the procedure was changed intraoperatively was a contralateral TEP after TEP repair. We now report an expanded patient cohort with a suggested unified treatment strategy.Materials and Methods: From 2006 to 2020, 443 patients underwent laparoscopic TEP groin hernia repair. A contralateral TEP after TEP repair was performed in 35 patients. The conversion rate after TEP was compared with that after other operations. Patients were divided into completed contralateral TEP after TEP repair (N = 28) and changed procedure groups (N = 7). Clinical characteristics were compared including age, body mass index, location and type of hernia, and interval after previous surgery. Multivariate analysis was performed to evaluate risk factors for conversion of the TEP procedure.Results: Patients undergoing contralateral TEP after TEP repair were significantly overrepresented among patients for whom the procedure was changed compared with other previous operations (P < 0.01), with an odds ratio of 19.91. Comparing completed TEP after TEP repair and changed procedure groups, there were no significant differences regarding age (mean: 67 vs. 69 y old), body mass index (22.4 vs. 22.5 kg/m 2 ), type of hernia (indirect or direct), or duration after previous TEP repair (median: 642 vs. 470 d) and identified no significant risk factors. Conclusions:The contralateral TEP after TEP repair for groin hernia is feasible. However, dense adhesions may be present if balloon dissection was performed at the previous TEP repair, and it is necessary to carefully dissect being ready to convert to other procedures such as TAPP repair or an anterior approach.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Laparoscopic Totally Extraperitoneal (TEP) Groin Hernia Repair in Patients After Contralateral TEP Groin Hernia Repair

Zuiki

Ohki²,

Miyahara³

et al. 2021

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Endoscopic surgeons’ preferences for inguinal hernia repair: TEP, TAPP, or OPEN

2012

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Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in patients with previous lower abdominal surgery

et al. 2018

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The majority of patients with an inguinal hernia and previous lower abdominal surgery underwent successful laparoscopic TEP repair. There is no need to avoid the laparoscopic TEP approach, even in patients with a history of previous lower abdominal surgery. However, patients after TEP repair of a contralateral inguinal hernia may be at increased risk for peritoneal injury and the approach may need to be changed.

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Repeat Laparoscopic Totally Extraperitoneal Hernia Repair After Primary Laparoscopic Totally Extraperitoneal Hernia Repair for Inguinal Hernia

Abstract: TEP after primary TEP for contralateral occurrence is feasible. Repeat TEP might be an alternative technique for new occurrence of contralateral inguinal hernia after primary TEP.

Cited by 4 publications

References 16 publications

Laparoscopic Totally Extraperitoneal (TEP) Groin Hernia Repair in Patients After Contralateral TEP Groin Hernia Repair

Laparoscopic Totally Extraperitoneal (TEP) Groin Hernia Repair in Patients After Contralateral TEP Groin Hernia Repair

Endoscopic surgeons’ preferences for inguinal hernia repair: TEP, TAPP, or OPEN

Laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in patients with previous lower abdominal surgery

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