Total Extraperitoneal (TEP) Approach in Inguinal Hernia Repair: The Old and the New

Lomanto, Davide; Clara, Eva Lourdes Sta.

doi:10.1007/978-3-319-72626-7_33

Cited by 2 publications

(2 citation statements)

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“…Most patients were operated on for bilateral hernias (58.4%). There were 106 patients who experienced a total of 114 postoperative complications (13.5% of patients, 9.2% of procedures) across the 8 categories evaluated: seroma (n=37), urinary retention (n=32), testicular/hemiscrotal swelling (n=23), neurological symptoms (12 transient, 2 persistent), hydrocele (n=7), wound/mesh infection (n=1), and testicular atrophy (n=0) [10].…”

Section: Discussionmentioning

confidence: 99%

Evaluation of the Outcomes of Laparoscopic Total Extra Peritoneal Inguinal Hernia Repair without Mesh Fixation

Gouda

.Abdelwahab

Abdelmofeed

et al. 2022

Benha Journal of Applied Sciences

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Background: Inguinal hernias are a significant cause of patient morbidity. It is the most common type of hernia, accounting for 75% of all the abdominal wall hernias. Several methods of inguinal hernia repair have been described and have been evolved over time. The Laparoscopic approach for inguinal hernia repair was first reported by Ger, who performed a high ligation of the sac without mesh placement. Total extraperitoneal repair was developed because of concern for possible complications associated with intra-abdominal access, which was required for the transabdominal preperitoneal approach. Laparoscopic total extra peritoneal repair (TEP) of inguinal hernia is associated with less postoperative pain and morbidity than open hernia repair. The TEP method allows access to the preperitoneal space and avoids the need for a peritoneal incision. The study is aimed to evaluate the role of laparoscopic total extra peritoneal hernia repair without mesh fixation in early ambulation, recurrence rate and post-operative chronic groin pain. Methods: This is prospective study, was conducted on 30 patients suffering from inguinal hernia attending General Surgery Department at Benha University Hospital. Results: The mean age of the studied patients was 31 years, with a standard deviation of 6 years. Regarding gender, there was a male predominance; most of the studied patient was males (93.3%). Regarding complaint, about half of the studied patients (53.3%) complained of left inguinal hernia and the other half (46.7%) complained of right inguinal hernia. Less than one-quarter of the patients had DM or hypertension; 20.0% for each. Only 16.7% had a history of a previous operation. Less than one-quarter had a history of cough or constipation; 20.0% and 23.3%, respectively. Prostatic problem was reported by only 6.7% of the studied patients. The mean surgical time was 60 minutes, with a standard deviation of 14 minutes. No conversion to open surgery was reported in the studied patients. Regarding early outcome, less than one-quarter of the patients reported hematoma, groin pain, or seroma; 20.0%, 16.7%, and 6,7%, respectively. No urine retention was reported. Regarding wound state, most of the patients (93.3%) reported clean wound, and only 6.7% reported infected wound. Regarding late outcome, recurrence occurred in only two patients (6.7%). Only 16.7% reported chronic groin pain. Conclusion: TEP inguinal hernia repair performed without mesh fixation is safe, effective procedure with low morbidity and feasible with minimal recurrence rates. Not fixing the mesh avoids possible complications.

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Section: Discussionmentioning

confidence: 99%

Evaluation of the Outcomes of Laparoscopic Total Extra Peritoneal Inguinal Hernia Repair without Mesh Fixation

Gouda

.Abdelwahab

Abdelmofeed

et al. 2022

Benha Journal of Applied Sciences

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“…De la misma manera han sido enfrentadas las técnicas de reparación laparoscópica: transabdominal preperitoneal "transabdominal preperitoneal repair" (TAPP) frente a aquella totalmente extraperitoneal "total extraperitoneal" (TEP); mismas que tienen resultados comparables a largo plazo en términos de incidencia de dolor inguinal crónico, calidad de vida y reanudación de las actividades normales [5]. Los resultados de la presente investigación, de manera global, pueden ser considerados similares a los que la bibliografía internacional detalla, demostrando de esta manera, que si la técnica es la misma, sus resultados pueden ser reproducibles a nivel mundial.…”

Section: Gráfico 1 Distribución De Pacientes Con Hernias Inguinales unclassified

Estudio Descriptivo: Resolución Laparoscópica Tipo TEP de Hernias Inguinales sin Fijación de Malla: Dolor Postoperatorio y Otros Hallazgos Relevantes Durante los Años 2011-2016, en el Hospital de Especialidades José Carrasco Arteaga

Velecela

Toral

2017

Rev. Méd. HJCA

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Total Extraperitoneal (TEP) Approach in Inguinal Hernia Repair: The Old and the New

Cited by 2 publications

References 20 publications

Evaluation of the Outcomes of Laparoscopic Total Extra Peritoneal Inguinal Hernia Repair without Mesh Fixation

Evaluation of the Outcomes of Laparoscopic Total Extra Peritoneal Inguinal Hernia Repair without Mesh Fixation

Estudio Descriptivo: Resolución Laparoscópica Tipo TEP de Hernias Inguinales sin Fijación de Malla: Dolor Postoperatorio y Otros Hallazgos Relevantes Durante los Años 2011-2016, en el Hospital de Especialidades José Carrasco Arteaga

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