scholarly journals Open Lichtenstein Hernioplasty Versus Laparoscopic Transabdominal Preperitoneal Mesh Repair: The Pain Factor

Cureus ◽  
2021 ◽  
Author(s):  
Chirag Pereira ◽  
Rakesh Rai
Keyword(s):  
Mesh Repair ◽  
Lichtenstein Hernioplasty ◽  
Transabdominal Preperitoneal

scholarly journals P139 LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL REPAIR FOR SMALL AND MEDIUM PRIMARY UMBILICAL AND MIDLINE HERNIAS

2021 ◽  
Vol 108 (Supplement_8) ◽  
Author(s):  
Kryspin Mitura
Keyword(s):  
Mesh Repair ◽  
Laparoscopic Approach ◽  
Mesh Size ◽  
Complication Rates ◽  
Linea Alba ◽  
Hernia Defect ◽  
Transabdominal Preperitoneal ◽  
Open Mesh Repair ◽  
Onlay Mesh

Abstract Aim Complications of open mesh repair for primary umbilical and midline hernias (PUMH) may lead to significant re-admissions and follow-up costs. Although laparoscopic intraperitoneal onlay mesh repair reduces infection rates, especially in overweight patients, it’s controversial in these hernias, mainly due to potential adhesions’ formation. Laparoscopic transabdominal preperitoneal technique (lap-TAPP) may address these issues, as it combines advantages of both open and laparoscopic approaches. The aim of this study is to present the initial results of lap-TAPP for PUMH in regard to its feasibility and complication rates. Material and Methods We evaluated 25 consecutive cases of lap-TAPP repair for PUMH. Patients’s characteristics, intraoperative findings, and postoperative complications after 30-days follow-up were analyzed. Results 21 male and 4 female patients were included in analysis (mean BMI 29.8 kg/m2). Surgery time was 82 minutes (55-120). We found 20 umbilical and 11 epigastric linea alba hernias. Mesh size was 144cm2 (120-225); mean hernia defect width was 25mm (10-40). In 9 patients (36%) the peritoneal rents were created which were easily closed with sutures. All patients were discharged on 1 POD with no complications. After 30-days we found no recurrences or bulging, no pain complaints. We found one subcutaneous small hematoma with no need for intervention. Conclusions Laparoscopic TAPP for small and medium PUMH is a safe and feasible technique with low complication rate. However, this method is technically demanding and time consuming while performed with laparoscopic approach as it requires precise and subtle plane dissection, and non-ergonomic closure hernia defect.

scholarly journals EVALUATION OF LAPAROSCOPIC, TRANSABDOMINAL, PREPERITONEAL MESH REPAIR FOR RECURRENT INGUINAL HERNIA

2009 ◽  
Vol 70 (2) ◽  
pp. 368-374
Author(s):  
Takeshi MATSUTANI ◽  
Masayuki MIYAMOTO ◽  
Ken YANAGI ◽  
Hiroshi MARUYAMA ◽  
Akira MATSUSHITA ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Mesh Repair ◽  
Recurrent Inguinal Hernia ◽  
Transabdominal Preperitoneal

A comparative study of transabdominal preperitoneal (TAPP) verses totally extra-peritoneal (TEP) Mesh repair of inguinal hernia

2015 ◽  
Vol 1 (2) ◽  
pp. 60 ◽  
Author(s):  
Shaukat Jeelani ◽  
Malik Ahmad ◽  
Hanief Dar ◽  
Malik Abass ◽  
Azhar Mushtaq ◽  
...  
Keyword(s):  
Inguinal Hernia ◽  
Comparative Study ◽  
Mesh Repair ◽  
Transabdominal Preperitoneal

scholarly journals Audit of Patient Outcomes after Lichtenstein Hernioplasty for the Repair of Adult Inguinal Hernia

2019 ◽  
Vol 16 (2) ◽  
pp. 54-58
Author(s):  
Md Ibrahim Siddique ◽  
Samia Mubin ◽  
Krisna Rani Majumder ◽  
Muhammad Ali Siddiquee
Keyword(s):  
Inguinal Hernia ◽  
Hernia Repair ◽  
Inguinal Hernia Repair ◽  
Mesh Repair ◽  
Groin Pain ◽  
General Surgeon ◽  
Chronic Groin Pain ◽  
Tension Free ◽  
Lichtenstein Hernioplasty

Background: Inguinal hernia repair is one of the most commonly performed surgeries worldwide. While numerous surgical approaches exist to treat inguinal hernias, the Lichtenstein tension-free mesh repair remains the gold standard. This retrospective study is carried out to evaluate the short and long term outcomes of Lichtenstein hernioplasty in the hand of a general surgeon. Patients and Methods: A retrospective analysis of all adult inguinal hernia repair by Lichtenstein method between January .2003 and December 2009 was carried out. The outcome measures were early post-operative complications, incidence of chronic groin pain and recurrence rate. Results: A total of 526 procedures were carried out in 445 adult male patients during the study period. The median age of the patients was 49 years (range, 21-73 years). All patients underwent Lichtenstein hernioplasty under spinal anesthesia. Length of hospital stay was median 2.4 days (range, 1-4 days). Median time to the resumption of normal activities was 8 days (range, 5-1 0 days). Urinary retention was the most frequent early post-operative complication (5.1 6%). Rate of wound infection was acceptable (0.44%). Chronic groin pain was experienced by three patients (0.67%). There was no recurrence observed among the 291 (65.4% of the total) patients who were available after two years of the procedure. Conclusion: The Lichtenstein open tension-free mesh repair of adult inguinal hernia is a safe procedure with least post-operative morbidity and least chance for recurrence. It is a simple technique, quick and. easy to perform without compromising the patient's care and long-term outcome in the hand of an experienced general surgeon. Journal of Surgical Sciences (2012) Vol. 16 (2) : 54-58

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