Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair.

Wake, Beverly L; McCormack, Kirsty; Fraser, Cynthia; Vale, Luke; Perez, Juan Gregorio Gonzalez; Grant, Adrian

doi:10.1002/14651858.cd004703.pub2

Cited by 180 publications

(125 citation statements)

References 34 publications

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“…Fibrin glue is also said to be hemostatic and thus incidences of hematoma are also decreased [5]. Various techniques of hernia repair including laparoscopic hernia repair and the complications of the procedure have been reported in many studies [6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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: Introductionmentioning

confidence: 99%

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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“…European Hernia Society guidelines and a Cochrane Database review found broadly consistent results showing a slight increase in injuries to internal organs and portsite hernias with TAPP, and more frequent conversions to other surgeries with TEP. 9,37 Synthetic mesh is well established as an effective component of open and laparoscopic inguinal herniorrhaphy, but it is associated with several notable risks beyond those most commonly described. Chronic pain, 38,39 vas deferens injury and occlusion, 40 and enterocutaneous fistulae have been reported following synthetic mesh repair.…”

Section: Discussionmentioning

confidence: 99%

Placement of a Non–Cross-Linked Porcine-Derived Acellular Dermal Matrix During Preperitoneal Laparoscopic Inguinal Hernia Repair

Alshkaki

2013

International Surgery

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This retrospective chart review evaluated outcomes following laparoscopic inguinal herniorrhaphies with non-cross-linked intact porcine-derived acellular dermal matrix (PADM) by one surgeon in a community teaching facility hospital. Mesh was sutured and/or tacked in the preperitoneal space. Postoperative visits were scheduled at 2 weeks, 3 months, and 6 months, and then at 6-month intervals up to 2 years. PADM was placed in 14 male patients (mean age, 41.1 years). Seven patients had bilateral hernias. One patient required intraoperative conversion to open herniorrhaphy based on diagnostic laparoscopy findings. PADM sizes were 6 3 10 to 12 3 16 cm; mean operative time was 102 minutes. All patients were discharged on the day of surgery and resumed full activity. This treatment approach was effective, with no recurrence or complications during a median follow-up period of 18 months (range, 13-25 months). Synthetic mesh is often used in conjunction with both open and laparoscopic inguinal herniorrhaphy and has been shown to significantly reduce the risk of hernia recurrence compared with primary repair without mesh.9 However, synthetic mesh has been associated with postoperative complications such as infection, which can occur during the acute or longterm postsurgical period, [13][14][15] and longer-term complications such as chronic pain, fistula formation, and extrusion. [16][17][18][19] Infection following synthetic mesh insertion 19,20 often leads to explantation of the mesh, which may result in increased patient morbidity and use of health care resources. 20,21 Biologic matrices support tissue revascularization and are thought to resist infection better than synthetic meshes.13 Several biologic alternatives to synthetic mesh have been developed, including a non-cross-linked intact porcine-derived acellular dermal matrix (PADM; Strattice Reconstructive Tissue Matrix, LifeCell Corporation, Branchburg, New Jersey). The structure of PADM is strong and biocompatible, and it allows for cellular infiltration, vascularization, and tissue remodeling. 22 Clinical studies have shown the utility of PADM in several surgical procedures, including chest wall reconstruction, 23 breast reconstruction surgery, 24 and ventral herniorrhaphy. 25 To date, limited data have been reported about biologic matrix use in laparoscopic inguinal herniorrhaphy. [26][27][28] To the author's knowledge, results from studies assessing the use of PADM in laparoscopic inguinal hernia repair have not been previously reported. This retrospective chart review evaluated the results of laparoscopic inguinal herniorrhaphy in 14 patients using a totally extraperitoneal (TEP) approach with placement of PADM. Postoperative recurrence and complication rates associated with this procedure were evaluated for a median follow-up period of 18 months (range, 13-25 months). Patients and MethodsA retrospective chart review was conducted to identify patients who underwent elective laparoscopic inguinal herniorrhaphy with use of PADM performed by the author in a commu...

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“…Кроме того, следует отме-тить, что при всем накопленном опыте, многочисленности различного рода пуб-ликаций отсутствует единая хирургичес-кая тактика при выборе метода лечения паховых грыж [3,4]. Мнения различных авторов о преимуществах и недостатках современных способов устранения пахо-вых грыж ТАРР и ТЕР порой весьма про-тиворечивы, и для точного сравнения не-обходимо провести ещѐ ни одно исследо-вание [5,6]. Одним из преимуществ ТЕР является отсутствие хронической боли, возникающей после фиксации сетки (по сравнению с TAPP-техникой).…”

Section: On Improvement Of Methods Endovideosurgical Hernioplastyunclassified

On Improvement of Methods Endovideosurgical Hernioplasty

Tarasenko¹,

Зайцев²,

Ахмедов³

et al. 2017

NMJ

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Transabdominal pre-peritoneal (TAPP) vs totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair.

Abstract: There is insufficient data to allow conclusions to be drawn about the relative effectiveness of TEP compared with TAPP. Efforts should be made to start and complete adequately powered RCTs, which compare the different methods of laparoscopic repair.

Cited by 180 publications

References 34 publications

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

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

Placement of a Non–Cross-Linked Porcine-Derived Acellular Dermal Matrix During Preperitoneal Laparoscopic Inguinal Hernia Repair

On Improvement of Methods Endovideosurgical Hernioplasty

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