Simultaneous Repair of Bilateral Inguinal Hernias: A Prospective, Randomized Study of Single Versus Double Mesh Laparoscopic Totally Extraperitoneal Repair

Ohana, Gil; Powsner, Eldad; Melki, Yedidia; Estlein, Dov; Seror, Dan; Dreznik, Zeev

doi:10.1097/01.sle.0000202195.51699.63

Cited by 6 publications

(7 citation statements)

References 9 publications

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“…In contrast with our findings, Ohana et al [25] seroma was more encountered in the single mesh group [33.33 vs. 15.62% in the double mesh group, p < 0.05].…”

Section: Discussioncontrasting

confidence: 99%

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Behiery¹,

Sayouh

Salem

2021

International Journal of Medical Arts

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Background: Recurrence after surgical treatment of inguinal hernia is still a challenge facing surgeons during their daily practice. Aim of the Work:The current trial aims to compare single and double mesh placement in huge inguinal hernia repair.Patients and Methods: 40 cases were involved in the study. They were classified into two equal groups according to the operative technique [A for single mesh and B for double mesh]. The study's candidates were examined and investigated thoroughly regarding their complaint, the presence of a clinically detectable hernia in the inguinal region, its size, characters, onset, duration, and associated symptoms. Then, all were examined clinically and prepared for surgical intervention after lab investigations. Results:The mean ages were 56 and 56.9 years for groups A and B. Both groups were comparable to body mass index, risk factors, type of hernia, hernia side, and intraoperative blood loss. There was a significant decrease in operative time in group A when compared to group B [54.50 ± 8.256 vs. 61.25 ± 6.664 minutes, respectively]. The overall rate of complications was lower in group B when compared to group A [30.0% vs. 50.0%, respectively]. Complications in group A were seroma [10.0%], wound infection [5.0%], scrotal edema [25.0%], and chronic pain [10.0%]; while in group B, seroma [10.0%], scrotal edema [5.0%], chronic pain [15.0%]. Recurrence was confined to group A, and reported to three patients [15.0%]. However, the difference was statistically nonsignificant. Conclusion: Double mesh technique is a safe and efficacious approach for managing huge inguinal hernia. It is associated with lower rate of recurrence than the single mesh approach with comparable operative time, complications, and outcomes.

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“…In contrast with our findings, Ohana et al [25] seroma was more encountered in the single mesh group [33.33 vs. 15.62% in the double mesh group, p < 0.05].…”

Section: Discussioncontrasting

confidence: 99%

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Behiery¹,

Sayouh

Salem

2021

International Journal of Medical Arts

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“…Another study showed no difference in the early and late outcomes when one or two meshes were used for the laparoscopic repair of bilateral inguinal hernias;[ 14 ] however, the cost was lower when a single mesh was used. [ 15 ] The intensity of the inflammatory response is directly proportional to the mesh size. [ 16 ] In the present study, a single mesh was used so that inflammatory responses to the mesh during the acute phase would be similar in the two groups.…”

Section: Discussionmentioning

confidence: 99%

Early assessment of bilateral inguinal hernia repair: A comparison between the laparoscopic total extraperitoneal and Stoppa approaches

Damous

et al. 2016

J Min Access Surg

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BACKGROUND:The present clinical trial was designed to compare the results of bilateral inguinal hernia repair between patients who underwent the conventional Stoppa technique and laparoscopic total extraperitoneal repair (LTE) with a single mesh and without staple fixation.PATIENTS AND METHODS:This controlled, randomised clinical trial was conducted at General Surgery and Trauma of the Clinics Hospital, Medical School, the University of São Paulo between September 2010 and February 2011. Totally, 50 male patients, with a bilateral inguinal hernia, older than 25 years were considered eligible for the study. The following parameters were analysed during the early post-operative period: (1) The intensity of surgical trauma, operation time, C-reactive protein (CRP) levels, white blood cell count, bleeding and pain intensity; (2) quality of life assessment; and (3) post-operative complications.RESULTS:LTE procedure was longer than the Stoppa procedure (134.6 min ± 38.3 vs. 90.6 min ± 41.3; P < 0.05). The levels of CRP were higher in the Stoppa group (P < 0.05) but the number of leucocytes, haematocrit, and haemoglobin were similar between the groups (P > 0.05). There was no difference in pain during the 1st and 7th post-operative, physical functioning, physical limitation, the impact of pain on daily activities, and the Carolinas Comfort Scale during the 7th and 15th post-operative (P > 0.05). Complications occurred in 88% of Stoppa group (22 patients) and 64% in LTE group (16 patients) (P < 0.05).CONCLUSION:The comparative study between the Stoppa and LTE approaches for the bilateral inguinal hernia repair demonstrated that: (1) The LTE approach showed less surgical trauma despite the longer operation time; (2) Quality of life during the early post-operative period were similar; and (3) Complication rates were higher in the Stoppa group.

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“…Surgeons are reluctant to use a single mesh. In a prospective randomized study, Ohana et al 13 studied the use of single versus double mesh repair. After an average follow-up of 21 months, there were no reports of any recurrences.…”

Section: Mesh Placementmentioning

confidence: 99%

Article Commentary: Laparoscopic Repair of Inguinal and Incisional Hernias

Kehdy

2011

The American Surgeon™

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R EPAIR OF HERNIAS, whether inguinal or incisional, amounts to of the most commonly performed procedures by general surgeons. Although many of the patients with either type of hernia may undergo an operation through the traditional open approach, there had been a significant shift toward the laparoscopic route, particularly for incisional hernia repair. Like with any such change, there remain controversial issues in the treatment of these problems. This review summarizes the current literature on the laparoscopic approach to inguinal and incisional hernia repairs.

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Simultaneous Repair of Bilateral Inguinal Hernias: A Prospective, Randomized Study of Single Versus Double Mesh Laparoscopic Totally Extraperitoneal Repair

Cited by 6 publications

References 9 publications

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Comparison between Single Mesh and Double Mesh Placement in Huge Inguinal Hernia

Early assessment of bilateral inguinal hernia repair: A comparison between the laparoscopic total extraperitoneal and Stoppa approaches

Article Commentary: Laparoscopic Repair of Inguinal and Incisional Hernias

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