Which Technique Should We Select in Laparoscopic Inguinal Hernia Repairs?

Erkan Karacan; Engin Küçükdiler; Eyüp Murat Yılmaz

doi:10.4274/meandros.galenos.2020.62681

Araştırma Makalesi

Which Technique Should We Select in Laparoscopic Inguinal Hernia Repairs?

Yıl 2021, Cilt: 22 Sayı: 3, 224 - 228, 30.12.2021

Erkan Karacan , Engin Küçükdiler , Eyüp Murat Yılmaz

Öz

Objective: With the increasing popularity of laparoscopic surgeries, laparoscopic repairs in inguinal hernias have become more common day by day. Laparoscopic inguinal hernia repairs are most commonly performed using totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repair techniques. This study aimed to compare laparoscopic inguinal hernia repair results according to surgical techniques.
Materials and Methods: Data of patients who underwent closed inguinal hernia repair between July 2017 and July 2020 were retrospectively analyzed, and patients were divided into two groups: those who underwent the TAPP (group 1) and TEP (group 2) techniques. Postoperative recurrence rates of both groups, demographic data of patients, postoperative complication rates, complication types, operation duration, and postoperative hospital stay duration were evaluated; postoperative first-week, first-month, and third-month pain scores were evaluated with the visual analog scale (VAS). Data of both groups were evaluated in terms of statistical differences.
Results: A total of 113 patients underwent surgery in July 2017-July 2020, wherein 43 had TAPP (group 1) and 70 had TEP (group 2). The mean postoperative followup duration of patients was 10.01±4.58 months. No significant difference was found in the recurrence between the groups during the follow-up (p=0.67). No significant difference was found in postoperative complications between the groups. The operation durations were longer in group 1 than in group 2 (p=0.04). No significant difference was found between the groups in terms of postoperative hospital stay duration (p=0.29). Postoperative first-week, first-month, and thirdmonth VAS scores were higher in group 1 than in group 2 (p<0.001, p=0.001, p=0.006, respectively).
Conclusion: Laparoscopic inguinal hernia repairs can be performed safely, and the TEP technique is more comfortable than TAPP for patients in the early postoperative period.

Anahtar Kelimeler

Laparoscopic inguinal hernia repair, inguinal hernia, transabdominal preperitoneal repair, totally extraperitoneal repair

Kaynakça

1. McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, et al. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess 2005; 9: 1-203.
2. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR. Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 2003; 90: 1479-92.
3. Schultz LS, Graber JN, Pietrafitta J, Hickok DF. Early results with laparoscopic inguinal herniorrhaphy are promising. Clin Laser Mon 1990; 8: 103-5.
4. Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RS, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia \[International Endohernia Society (IEHS)]. Surg Endosc 2011; 25: 2773-843.
5. Arregui ME, Davis CJ, Yucel O, Nagan RF. Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report. Surg Laparosc Endosc 1992; 2: 53-8.
6. Vagholkar K, Iyengar M, Vagholkar S. Inguinal hernia in females: do we know enough? International Surgery Journal 2016; 3: 354-6.
7. Jorgenson E, Makki N, Shen L, Chen DC, Tian C, Eckalbar WL, et al. A genome-wide association study identifies four novel susceptibility loci underlying inguinal hernia. Nat Commun 2015; 6: 10130.
8. Toma H, Eguchi T, Toyoda S, Okabe Y, Kobarai T, Naritomi G, et al. A 10-year experience of totally extraperitoneal endoscopic repair for adult inguinal hernia. Surg Today 2015; 45: 1417-20.
9. Erdoğan A, Türkan A, Kılınç U, Katar MK. Hernia Repair Via Laparoscopic Transabdominal Preperitoneal (TAPP) Method: Our Clinical Outcomes in County State Hospital. Acta Oncol Tur 2018;51: 353-6.
10. McCormack K, Wake BL, Fraser C, Vale L, Perez J, Grant A. Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia 2005; 9: 109-14.
11. Nawaz T, Ayub MW, Murad F, Ali Q, Khan A, Anwar I. Comparison of laparoscopic total extra peritoneal (TEP) techniques versus transabdominal preperitoneal (TAPP) technique for inguinal hernia repair. Journal of Rawalpindi Medical College 2015; 19: 220-2.
12. Krishna A, Misra MC, Bansal VK, Kumar S, Rajeshwari S, Chabra A. Laparoscopic inguinal hernia repair: transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) approach: a prospective randomized controlled trial. Surg Endosc 2012; 26: 639-49.
13. Ramshaw BJ, Tucker JG, Mason EM, Duncan TD, Wilson JP, Angood PB, et al. A comparison of transabdominal preperitoneal (TAPP) and total extraperitoneal approach (TEPA) laparoscopic herniorrhaphies. Am Surg 1995; 61: 279-83.
14. Litwin DE, Pham QN, Oleniuk FH, Kluftinger AM, Rossi L. Laparoscopic groin hernia surgery: the TAPP procedure. Transabdominal preperitoneal hernia repair. Can J Surg 1997; 40: 192-8.
15. Ferzli G, Massad A, Albert P, Worth JMH. Endoscopic extraperitoneal herniorraphy versus conventional hernia repair: a comparative study. Curr Surg 1993; 50: 291-3.
16. Liem MS, van Steensel CJ, Boelhouwer RU, Weidema WF, Clevers GJ, Meijer WS, et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 1996; 171: 281-5.
17. Belyansky I, Tsirline VB, Klima DA, Walters AL, Lincourt AE, Heniford TB. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg 2011; 254: 709-15.
18. Olmi S, Scaini A, Erba L, Guaglio M, Croce E. Quantification of pain in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernioplasty identifies marked differences between prosthesis fixation systems. Surgery 2007; 142: 40-6.
19. Pironi D, Palazzini G, Panarese A, La Gioia G, Vendettuoli M, Romani AM, et al. Tecnica open versus TAPP nel trattamento dell’ernia inguinale. Nostra esperienza \[Open mesh technique versus laparoscopic transabdominal preperitoneal (TAPP) approach in inguinal hernia repair. Our experience]. G Chir 2008; 29: 497-504.
20. Hasbahceci M, Basak F, Acar A, Alimoglu O. A New Proposal for Learning Curve of TEP Inguinal Hernia Repair: Ability to Complete Operation Endoscopically as a First Phase of Learning Curve. Minim Invasive Surg 2014; 2014: 528517.
21. Baca I, Schultz C, Gotzen V, Jazek G. Laparoscopic inguinal hernia repair. A review of 2500 cases. In: Lomanto D, Kum CK, So JBY, Goh PMY, editors. Proceedings of the 7th World Congress of Endoscopic Surgery 2000: 425-30.

Yıl 2021, Cilt: 22 Sayı: 3, 224 - 228, 30.12.2021

Erkan Karacan , Engin Küçükdiler , Eyüp Murat Yılmaz

Öz

Kaynakça

1. McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, et al. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess 2005; 9: 1-203.
2. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR. Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 2003; 90: 1479-92.
3. Schultz LS, Graber JN, Pietrafitta J, Hickok DF. Early results with laparoscopic inguinal herniorrhaphy are promising. Clin Laser Mon 1990; 8: 103-5.
4. Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RS, et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia \[International Endohernia Society (IEHS)]. Surg Endosc 2011; 25: 2773-843.
5. Arregui ME, Davis CJ, Yucel O, Nagan RF. Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report. Surg Laparosc Endosc 1992; 2: 53-8.
6. Vagholkar K, Iyengar M, Vagholkar S. Inguinal hernia in females: do we know enough? International Surgery Journal 2016; 3: 354-6.
7. Jorgenson E, Makki N, Shen L, Chen DC, Tian C, Eckalbar WL, et al. A genome-wide association study identifies four novel susceptibility loci underlying inguinal hernia. Nat Commun 2015; 6: 10130.
8. Toma H, Eguchi T, Toyoda S, Okabe Y, Kobarai T, Naritomi G, et al. A 10-year experience of totally extraperitoneal endoscopic repair for adult inguinal hernia. Surg Today 2015; 45: 1417-20.
9. Erdoğan A, Türkan A, Kılınç U, Katar MK. Hernia Repair Via Laparoscopic Transabdominal Preperitoneal (TAPP) Method: Our Clinical Outcomes in County State Hospital. Acta Oncol Tur 2018;51: 353-6.
10. McCormack K, Wake BL, Fraser C, Vale L, Perez J, Grant A. Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia 2005; 9: 109-14.
11. Nawaz T, Ayub MW, Murad F, Ali Q, Khan A, Anwar I. Comparison of laparoscopic total extra peritoneal (TEP) techniques versus transabdominal preperitoneal (TAPP) technique for inguinal hernia repair. Journal of Rawalpindi Medical College 2015; 19: 220-2.
12. Krishna A, Misra MC, Bansal VK, Kumar S, Rajeshwari S, Chabra A. Laparoscopic inguinal hernia repair: transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) approach: a prospective randomized controlled trial. Surg Endosc 2012; 26: 639-49.
13. Ramshaw BJ, Tucker JG, Mason EM, Duncan TD, Wilson JP, Angood PB, et al. A comparison of transabdominal preperitoneal (TAPP) and total extraperitoneal approach (TEPA) laparoscopic herniorrhaphies. Am Surg 1995; 61: 279-83.
14. Litwin DE, Pham QN, Oleniuk FH, Kluftinger AM, Rossi L. Laparoscopic groin hernia surgery: the TAPP procedure. Transabdominal preperitoneal hernia repair. Can J Surg 1997; 40: 192-8.
15. Ferzli G, Massad A, Albert P, Worth JMH. Endoscopic extraperitoneal herniorraphy versus conventional hernia repair: a comparative study. Curr Surg 1993; 50: 291-3.
16. Liem MS, van Steensel CJ, Boelhouwer RU, Weidema WF, Clevers GJ, Meijer WS, et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 1996; 171: 281-5.
17. Belyansky I, Tsirline VB, Klima DA, Walters AL, Lincourt AE, Heniford TB. Prospective, comparative study of postoperative quality of life in TEP, TAPP, and modified Lichtenstein repairs. Ann Surg 2011; 254: 709-15.
18. Olmi S, Scaini A, Erba L, Guaglio M, Croce E. Quantification of pain in laparoscopic transabdominal preperitoneal (TAPP) inguinal hernioplasty identifies marked differences between prosthesis fixation systems. Surgery 2007; 142: 40-6.
19. Pironi D, Palazzini G, Panarese A, La Gioia G, Vendettuoli M, Romani AM, et al. Tecnica open versus TAPP nel trattamento dell’ernia inguinale. Nostra esperienza \[Open mesh technique versus laparoscopic transabdominal preperitoneal (TAPP) approach in inguinal hernia repair. Our experience]. G Chir 2008; 29: 497-504.
20. Hasbahceci M, Basak F, Acar A, Alimoglu O. A New Proposal for Learning Curve of TEP Inguinal Hernia Repair: Ability to Complete Operation Endoscopically as a First Phase of Learning Curve. Minim Invasive Surg 2014; 2014: 528517.
21. Baca I, Schultz C, Gotzen V, Jazek G. Laparoscopic inguinal hernia repair. A review of 2500 cases. In: Lomanto D, Kum CK, So JBY, Goh PMY, editors. Proceedings of the 7th World Congress of Endoscopic Surgery 2000: 425-30.

Toplam 21 adet kaynakça vardır.

Ayrıntılar

Birincil Dil	İngilizce
Konular	Genel Cerrahi
Bölüm	Araştırma Makalesi
Yazarlar	Erkan Karacan Engin Küçükdiler Eyüp Murat Yılmaz
Yayımlanma Tarihi	30 Aralık 2021
Yayımlandığı Sayı	Yıl 2021 Cilt: 22 Sayı: 3

Kaynak Göster

EndNote	Karacan E, Küçükdiler E, Yılmaz EM (01 Aralık 2021) Which Technique Should We Select in Laparoscopic Inguinal Hernia Repairs?. Meandros Medical And Dental Journal 22 3 224–228.

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