Laparoscopic totally extraperitoneal hernia repair: A clinical study of 207 cases

doi:10.3877/cma.j.issn.1674-392X.2019.01.012

Abstract

Abstract:

Objective

To investigate the safety and clinical outcomes of laparoscopic totally extraperitoneal repair (TEP) of hernia.

Methods

The data of 207 patients received TEP with 3D mesh and no-fixation method were analyzed retrospectively from January 2012 to July 2016.

Results

179 patients with unilateral hernia and 28 patients with bilateral hernias received the TEP successfully. The operative time of unilateral or bilateral hernia repair were 30 to 100 minutes [mean (51.8±10.7) minutes] and 55 to 130 minutes [mean (92.2±18.8) minutes], respectively. The blood loss during operation was 5 to 20 ml, and the average postoperative hospital stay was (2.1±0.5) days. The postoperative complications included 4 urinary retention (1.9%), 2 pneumoscrotum (1%), 10 seroma (4.8%), and 1 transient neuropraxia (0.5%). Following up for 16 to 60 months, there was 1 recurrent case (0.5%).

Conclusion

TEP with 3D mesh and no-fixation method is a safe and efficient inguinal hernia repair method.

Key words: Hernia, inguinal, Herniorrhaphy, Laparoscopes

Yongjun Nai, Yongdong Cai, Hongyong Cao. Laparoscopic totally extraperitoneal hernia repair: A clinical study of 207 cases[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(01): 44-46.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2019.01.012

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References 13

[1]	Reiner MA, Bresnahan ER. Laparoscopic total extraperitoneal hernia repair outcomes[J]. JSLS, 2016, 20(3): e2016. 00043.
[2]	Pahwa HS, Kumar A, Agarwal P, et al. Current trends in laparoscopic groin hernia repair: A review[J]. World J Clin Cases, 2015, 3(9): 789-792.
[3]	Miserez M, Peeters E, Aufenacker T, et al. Update with level l studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients[J]. Hernia, 2014, 18(2): 15l-163.
[4]	Zhu X, Cao H, Ma Y, et al. Totally extraperitoneal laparoscopic hernioplasty versus open extraperitoneal approach for inguinal hernia repair: a meta-analysis of outcomes of our current knowledge[J]. Surgeon, 2014, 12(2): 94-105.
[5]	Mihăileanu F, Chiorescu S, Grad O, et al. The Surgical Treatment of Inguinal Hernia Using the Laparoscopic Totally Extra-Peritoneal (TEP) Technique[J]. Clujul Med, 2015, 88(1): 58-64.
[6]	Hanif H, Memon SA. Outcome of Laparoscopic Totally Extraperitoneal Hernioplasty for inguinal hernia[J]. J Ayub Med Coll Abbottabad, 2015, 27(3): 613-616.
[7]	Patel LY, Lapin B, Gitelis ME, et al. Long-term patterns and predictors of pain following laparoscopic inguinal hernia repair: a patient-centered analysis[J]. Surg Endosc, 2017, 31(5): 2109-2121.
[8]	Group H. International guidelines for groin hernia management[J]. Hernia, 2018, 22(1): 1-165.
[9]	Sajid MS, Ladwa N, Kalra L, et al. A meta-analysis examining the use of tacker fixation versus no-fixation of mesh in laparoscopic inguinal hernia repair[J]. Int J Surg, 2012, 10(5): 224-231.
[10]	Kumar A, Kaistha S, Gangavatiker R. Non-fixation Versus Fixation of Mesh in Totally Extraperitoneal Repair of Inguinal Hernia: a Comparative Study[J]. Indian J Surg, 2018, 80(2): 128-133.
[11]	Bittner R, Montgomery MA, Arregui E, et al. Update of guidelines on laparoscopic(TAPP) and endoscopic(TEP) treatment of inguinal hernia(International Endohernia Society)[J]. Surg Endosc, 2015, 29(2): 289-321.
[12]	乐飞, 李健文, 王文瑞, 等. 单中心腹腔镜腹股沟疝修补术4445例[J]. 中华普通外科杂志, 2016, 31(9): 724-727.
[13]	Aikoye A, Harilingam M, Khushal A. The Impact of High Surgical Volume on Outcomes From Laparoscopic(Totally Extra Peritoneal) Inguinal Hernia Repair[J]. J Clin Diagn Res, 2015, 9(6): PC15-16.

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