The Novel Technique of Transabdominal Preperitoneal Hernioplasty Herniorrhaphy for Direct Inguinal Hernia: Suture Repair of Hernia Defect Wall

2018 ◽  
Vol 28 (1) ◽  
pp. 83-88 ◽  
Author(s):  
Sung Ryul Lee ◽  
Sung-Soo Park
Keyword(s):  
Inguinal Hernia ◽  
Suture Repair ◽  
The Novel ◽  
Direct Inguinal Hernia ◽  
Hernia Defect ◽  
Novel Technique ◽  
Transabdominal Preperitoneal ◽  
Transabdominal Preperitoneal Hernioplasty

Does primary closure of direct inguinal hernia defect during laparoscopic mesh repair reduce the risk of early recurrence?

Hernia ◽  
2020 ◽  
Vol 24 (5) ◽  
pp. 1093-1098 ◽  
Author(s):  
A. Y. Ng ◽  
J. Lin ◽  
S. S. Ching ◽  
J. Lee ◽  
A. S. Y. Wong
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Primary Closure ◽  
Early Recurrence ◽  
Direct Inguinal Hernia ◽  
Hernia Defect

Suture and Fixation of the Transversalis Fascia during Robotic-Assisted Transabdominal Preperitoneal Hernia Repair to Prevent Seroma Formation after Direct Inguinal Hernia Repair

2020 ◽  
pp. 155335062096097
Author(s):  
Ramon Pini ◽  
Francesco Mongelli ◽  
Francesco Proietti ◽  
Agnese Cianfarani ◽  
Fabio Garofalo ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Perforated Appendicitis ◽  
Seroma Formation ◽  
Lightweight Mesh ◽  
Transversalis Fascia ◽  
Direct Inguinal Hernia ◽  
Robotic Assisted ◽  
Conversion To Open Surgery ◽  
Transabdominal Preperitoneal

Background. Seroma formation after videoendoscopic repair of inguinal hernias, known as “pseudorecurrence”, may vary from an asymptomatic, self-limiting occurrence to a painful, chronic problem. The aim of this study was to investigate the incidence of postoperative seroma in robotic-assisted transabdominal preperitoneal hernia repair (R-TAPP), modified by suturing and fixating the transversalis fascia to the Cooper ligament. Methods. The study was approved by the local ethics committee (2019-01132 CE-3495). Patients undergoing R-TAPP for direct inguinal hernia from October 2017 to December 2019 were included. In all patients, a barbed running suture of the transversalis fascia was performed to close the cavity resulting from the direct hernia reduction and to fix it to the Cooper ligament, then a lightweight mesh was placed. Demographic and clinical data were collected and analysed. Results. Over the study period, 67 R-TAPP in 51 patients were identified. All patients were male, with a mean age of 63.1 ± 12.7  years. There was 1 case of conversion to open surgery due to adhesions of the caecum to the groin as a result of perforated appendicitis. The mean length of the hospital stay was 1.8 ± .6  days. After discharge, no cases of seroma or recurrence at 30  days nor chronic pain at a mean follow-up of 10.3 ± 6.8  months was detected. Conclusions. In the treatment of direct inguinal hernia with R-TAPP, suturing and anchoring the transversalis fascia to the Cooper ligament are safe, feasible and recommendable in order to prevent postoperative seromas.

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