Triangle Trocar Configuration in Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: A Prospective Randomized Controlled Study

Zhu, Xiaoqiang; Liu, Zhengni; Shen, Jianfeng

doi:10.1016/j.jss.2019.01.067

Cited by 8 publications

(2 citation statements)

References 16 publications

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“…Inguinal hernia repair is a very common operation performed by general surgeons worldwide [1]. With the advent of laparoscopic repair, most surgeons have taken up totally extra peritoneal (TEP) repair due to its proposed advantages of reduced post-operative pain, earlier return to work, better cosmesis, capacity to treat bilateral and recurrent hernia, and lesser incidence of chronic pain [2,3]. However, it is not without complications and with an ever-increasing number of TEP repairs, rare complications have emerged [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair

Samarakoon¹,

Chandraprakash²,

Fernandes³

et al. 2022

J Acute Care Surg

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Preperitoneal hernia is a very rare complication following laparoscopic inguinal hernia repair. A 57-yearold male underwent a right inguinal hernia totally extra peritoneal repair on 20/10/2021. Initial recovery was uncomplicated but on post operative day 10, he developed sudden onset of vomiting and abdominal pain. Initial imaging showed small bowel obstruction with a possible transition point. An internal hernia was suspected and he was offered urgent diagnostic laparoscopy following counseling. A preperitoneal defect was noted with distended proximal ileum and collapsed distal ileum and colon. A small bowel runthrough did not reveal any pathological abnormalities. A presumptive diagnosis of a preperitoneal hernia was made, and the defect was closed with a running V lock suture. The patient made an uneventful postoperative recovery. An inadvertent breach in the peritoneum during a totally extra peritoneal repair can lead to preperitoneal herniation of the small bowel and intestinal obstruction postoperatively.

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Section: Introductionmentioning

confidence: 99%

A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair

Samarakoon¹,

Chandraprakash²,

Fernandes³

et al. 2022

J Acute Care Surg

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“…The first 50 patients were treated with the extraperitoneal placement of prosthetic material via a laparoscope from 1989 to 1991. Today, this technique, known as TEP, has become widespread as noninvasive endoscopic surgery [4]. Video-laparoscopic hernia surgery has the following advantages: less pain, faster recovery, good cosmetic results, and an earlier return to normal life and work.…”

Section: Introductionmentioning

confidence: 99%

Video-endoscopic Tension-free Groin Hernia Repair via Total Extraperitoneal Approach

Doğan¹,

Gürleyik²

2020

Cureus

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IntroductionTension-free repair of groin hernias with synthetic material by video-endoscopic surgery is a widely accepted method that is performed by various approaches. We aim to present our results of video-endoscopic tension-free repair of groin hernias via the total extraperitoneal (TEP) approach. MethodsBetween September 2016 and December 2018, 124 patients with groin hernias underwent tension-free repair using prolene mesh by video-endoscopic surgery via the TEP approach. This is a retrospective analysis of 110 (88.7%) male and 14 (11.3%) female patients with a mean age of 48.1 years. Groin hernia types, locations of hernias, intraoperative and postoperative complications, results of the mean 24-month follow-up, and recurrence rate were reported. ResultsA total of 134 hernias were repaired in 124 patients who had 53 (42.7%) right, 61 (49.2%) left, and 10 (8.1%) bilateral groin hernias. The most common hernia type was an indirect inguinal hernia in 83/134 (62%) groin hernias. A total of 119 (88.8%) and 15 (11.2%) hernias were primary and recurrent, respectively. Seroma was detected in two (1.6%) patients in the early postoperative period. The mean duration of hospital stay was 1.4 (1-3) days. During the followup period, hernia recurrence was determined in three (2.4%) patients. Hernia recurrence was detected among patients who were operated on during the first half of the study. ConclusionTension-free repair of groin hernias by video-endoscopic technique via the TEP approach can be performed with very low complication and recurrence rates. The success of the TEP approach increases parallel to increasing surgical experience. The results of hernia repair via the TEP approach are highly satisfactory and encouraging, especially when attention is paid to proper patient selection during the learning curve period.

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A prospective randomised control trial to compare the perioperative outcomes and ergonomic challenges between triangular versus midline port placement in total extra-peritoneal repair of uncomplicated unilateral inguinal hernia

et al. 2020

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Triangle Trocar Configuration in Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair: A Prospective Randomized Controlled Study

Cited by 8 publications

References 16 publications

A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair

A Case of Preperitoneal Herniation of the Small Bowel Causing Intestinal Obstruction Following a Totally Extra Peritoneal Hernia Repair

Video-endoscopic Tension-free Groin Hernia Repair via Total Extraperitoneal Approach

A prospective randomised control trial to compare the perioperative outcomes and ergonomic challenges between triangular versus midline port placement in total extra-peritoneal repair of uncomplicated unilateral inguinal hernia

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