Reply to the Comment on “Higher Recurrence Rate After Endoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair With Ultrapro Lightweight Mesh: 5-Year Results of a Randomized Controlled Trial (TULP-trial)”

Roos, Marleen M.; Burgmans, J. P. J.

doi:10.1097/sla.0000000000002915

Cited by 5 publications

(17 citation statements)

References 7 publications

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“…Eine prospektive Propensity-Score-Matching-Studie des Herniamed-Registers, die 57 906 Patienten nach TAPP-, TEP- und Lichtenstein-Operation bei primärer einseitiger Leistenhernie untersuchte, zeigte signifikant weniger postoperative Komplikationen, Reoperationen, chronische Ruheschmerzen und chronische Belastungsschmerzen nach TAPP und TEP. Bei der TEP-Operation fanden sich mehr intraoperative Komplikationen 12 . Metaanalysen und große Registerstudien zeigen vergleichbar gute Ergebnisse der TAPP-und TEP-Technik 1 , 3 , 4 , 6 , 7 .…”

Section: Evidenzbasierte Selektion Der Technikenunclassified

“…Zur Rezidivvermeidung bei TAPP- und TEP-Versorgung großer direkter Hernien scheinen großporige schwergewichtige Implantate von Vorteil zu sein. Eine RCT an 790 Patienten, die die TEP-Operation mit leicht- und schwergewichtigem Netz verglich, zeigte signifikant mehr Rezidive nach Einsatz leichtgewichtiger Kunststoffimplantate 12 .…”

Section: Evidenzbasierte Selektion Der Technikenunclassified

“…Der Einsatz von Tackern sollte vermieden werden 1 . Auf den Vorteil großporiger schwergewichtiger Netze zur Rezidivvermeidung bei TAPP und TEP wurde bereits hingewiesen 12 .…”

Section: Prävention Akuter Und Chronischer Schmerzen Nach Leistenbruc...unclassified

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Aktuelle evidenzbasierte Therapie der Leistenhernie

Reinpold¹,

Köckerling²,

Niebuhr³

et al. 2022

Allgemein- und Viszeralchirurgie up2date

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Section: Evidenzbasierte Selektion Der Technikenunclassified

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Aktuelle evidenzbasierte Therapie der Leistenhernie

Reinpold¹,

Köckerling²,

Niebuhr³

et al. 2022

Allgemein- und Viszeralchirurgie up2date

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“…The striking finding of their study is the fact that most cancer surgeries can be safely delayed beyond current wait time for at least 4 weeks without having a significant impact on patient survival or cancer progression measured by completeness of resection. However, their findings are not consistent across the vast majority of similar cancers studied [2][3][4][5][6][7][8] which have analyzed the NCDB and similar cancer databases, apart from prostate cancer which has completely different natural history.…”

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confidence: 99%

Response to the Comment on “Heavyweight Mesh is Superior to Lightweight Mesh in Laparo-endoscopic Inguinal Hernia Repair: A Systematic Review and Meta-analysis”

Bakker

Burgmans²

2020

Annals of Surgery

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randomized control trials studies, however, we want to look into the underlying mechanism of the author's present findings, and furthermore, we aim to provide the possible and definite resolution to this problem, therefore, several comments on this topic were addressed.First, about the recurrence mechanism. Unlike the recurrence after incisional hernias, which may be associated with the enlargement of defect, the mesh-fascia disruption, or multiple defects, the mechanism of inguinal hernia recurrence after laparo-endoscopic repair with LWM is largely due to mesh dislocation or mesh protrusion, 2,5 as it is more likely that a less strong LWM will protrude if the primary direct or indirect defect is large, which may occur in the early postoperative period, before the fibrotic response and subsequent fixation of mesh just stared, or occur gradually several months later. Consequently, the recurrent inguinal hernia was usually present with the same size as nonoperated, which indicates a technique failure.Second, about the mesh fixation. The authors reported that the increased recurrence using LWM disappeared when mesh fixation used. However, the efficacy and necessary of mesh fixation in laparo-endoscopic inguinal hernia repair are still debatable. Theoretically, the purpose of mesh fixation in laparo-endoscopic inguinal hernia repair is different from that of laparoscopic ventral/incisional hernia repair. In case of laparoscopic intraoperitoneal onlay mesh repair, fixation is mandatory to hold the mesh in place, while, the purpose of fixation in laparo-endoscopic inguinal hernia repair is rather to position the mesh in the proper place, to prevent mesh curling, than to permanently fix the mesh from dislocation. According to the guideline, mesh fixation is not mandatory in the majority of laparo-endoscopic inguinal hernia repair. 1 Furthermore, there are studies with large volume (11,228 male patients) clearly showing that mesh fixation did not reduce the recurrence rate. 6,7 Third, narrowing the defect before mesh placement. Since the increase recurrence was attributed to the mesh dislocation or protrusion into the defect cavity, 2,5 which is prone to occur in either direct hernia or large indirect hernia. Although LWM is more prone to migrate, the HWM can also protrude or slide into the large defect cavity as well, and result in hernia recurrence. Therefore, we routinely close the large direct hernia defect by suture the transversalis fascia with barbed suture instead of fixation the mesh, 8 in not only LWM, but also in the use of HWM. In case of large and scrotal indirect hernia with a wide defect orifice, we proposed dividing the distal hernia sac, and close the distal sac, 9 or simply narrowing the defect by suture the lower edge of the divided distal sac to the Junsheng Li have no conflicts of interest or financial ties to disclose.

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“…57,58 Moreover, to veraciously investigate recurrence rates follow-up should be performed at least 2 years postoperatively. 32,[59][60][61] This follow-up methodology, purely with the aim of data registration, is patient unfriendly, time-consuming for patients and surgeons, expensive, and comes with high loss to follow-up rates. In 2014, the Post-INguinal-repair-Questionnaire by telephone (PINQ-PHONE) was developed and validated as a method of follow-up to detect recurrences.…”

Section: Follow-up After Inguinal Hernia Surgerymentioning

confidence: 99%

Optimizing Inguinal Hernia Surgery

Bakker¹

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Chapter 1General introduction and thesis outline Part I Optimizing the use of mesh Chapter 2Lightweight mesh is recommended in open inguinal (Lichtenstein) hernia repair: a systematic review and meta-analysis Surgery 2020 Chapter 3Higher recurrence rate after endoscopic totally extraperitoneal (TEP) inguinal hernia repair with Ultrapro lightweight mesh: 5-year results of a randomized controlled trial (TULP-trial) Annals of Surgery 2018 Chapter 4a Heavyweight mesh is superior to lightweight mesh in laparoendoscopic inguinal hernia repair: a meta-analysis and trial sequential analysis of randomized controlled trials Annals of Surgery 2020 Chapter 4b Response to Comment on "Heavyweight mesh is superior to lightweight mesh in laparo-endoscopic inguinal hernia repair: a systematic review and meta-analysis" Annals of Surgery 2020II Optimizing TEP repair for specific patient populations Chapter 5 Is young age a risk factor for chronic postoperative inguinal pain after endoscopic totally extraperitoneal (TEP) repair? Hernia 2019 Chapter 6 Athletes with inguinal disruption benefit from endoscopic totally extraperitoneal (TEP) repair Hernia 2018 Chapter 7 Influence of previous laparo-endoscopic inguinal hernia repair on performing radical prostatectomy: a nationwide survey among urological surgeons Surgical Endoscopy 2020 Part III Optimizing follow-up Chapter 8 Value and patient appreciation of follow-up after endoscopic totally extraperitoneal (TEP) inguinal hernia repair Hernia 2020 Chapter 9 Experience with the PINQ-PHONE telephone questionnaire for detection of recurrences after endoscopic inguinal hernia repair Hernia 2019 Chapter 10 Reliability and Validity of the Inguinal Hernia Smartphone Application for Follow-up after Inguinal Hernia Repair: protocol of a prospective cohort study In progress Part IV General discussion and summary Chapter 11 Summarizing discussion, conclusions and future perspectives Chapter 12 Summary in Dutch | Nederlandse samenvatting Appendices Review committee List of publications Acknowledgements|Dankwoord Curriculum Vitae

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Reply to the Comment on “Higher Recurrence Rate After Endoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair With Ultrapro Lightweight Mesh: 5-Year Results of a Randomized Controlled Trial (TULP-trial)”

Cited by 5 publications

References 7 publications

Aktuelle evidenzbasierte Therapie der Leistenhernie

Aktuelle evidenzbasierte Therapie der Leistenhernie

Response to the Comment on “Heavyweight Mesh is Superior to Lightweight Mesh in Laparo-endoscopic Inguinal Hernia Repair: A Systematic Review and Meta-analysis”

Optimizing Inguinal Hernia Surgery

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