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Outcome of inguinal hernia repair total extraperitoneal laparoscopic hernia repair versus open tension free repair (Lichtenstein technique).
J Med Assoc Thai. 2002 Oct; 85(10):1100-4.JM

Abstract

BACKGROUND

Result and efficacy of laparoscopic hernioplasty has been controversial. Many techniques have been performed and evaluated. Totally extraperitoneal laparoscopic hernia repair (TEP) technique has been used for laparoscopic hernioplasty in this center. Complications, benefit and efficacy in terms of recurrence were studied and compared with open tension free repair (Lichtenstein).

METHOD

Fifty-five patients with 4 recurrent, 16 bilateral and 35 unilateral groin hernia underwent laparoscopic hernioplasty by the TEP technique. The other twenty-four patients with I recurrent 2 bilateral and 21 unilateral groin hernia underwent Lichtenstein hernioplasty (OH). Operative time, complications, hospital stay and recurrence after 1 year follow-up were recorded.

RESULT

Mean operative time was 67.85 +/-21.66 and 55.85 +/- 10.60 minutes. Mean difference was 12.00, 95 per cent CI (1.83, 22.16) p-value 0.02 (TEP and OH). Mean hospital stay was 2.71 +/- 1.29 and 2.38 +/- 0.58 days. Mean difference was 0.33, 95 per cent CI (-0.26, 0.93) p-value 0.27 (TEP and OH) complication rate 12.7 per cent and 12.5 per cent p-value 0.64 (TEP and OH). Most complications were minor such as seroma, hematoma, neuralgia, one case of pubic osteitis needed to remove staples and some parts of the mesh. There was one conversion to open repair due to large sac and large bowel adherence. There was one recurrence after one year follow-up in the laparoscopic group, no major morbidity or mortality in this study.

CONCLUSION

This study demonstrated that complications of the TEP technique were minimal and it was safe to perform. Although the operative time was longer and there was one recurrence in the TEP group, that might be because of the early learning period for a new surgical procedure

Authors+Show Affiliations

Department of Surgery, Rajavithi Hospital. Bangkok 10400, Thailand.

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

12501902

Citation

Subwongcharoen, Somboon. "Outcome of Inguinal Hernia Repair Total Extraperitoneal Laparoscopic Hernia Repair Versus Open Tension Free Repair (Lichtenstein Technique)." Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, vol. 85, no. 10, 2002, pp. 1100-4.
Subwongcharoen S. Outcome of inguinal hernia repair total extraperitoneal laparoscopic hernia repair versus open tension free repair (Lichtenstein technique). J Med Assoc Thai. 2002;85(10):1100-4.
Subwongcharoen, S. (2002). Outcome of inguinal hernia repair total extraperitoneal laparoscopic hernia repair versus open tension free repair (Lichtenstein technique). Journal of the Medical Association of Thailand = Chotmaihet Thangphaet, 85(10), 1100-4.
Subwongcharoen S. Outcome of Inguinal Hernia Repair Total Extraperitoneal Laparoscopic Hernia Repair Versus Open Tension Free Repair (Lichtenstein Technique). J Med Assoc Thai. 2002;85(10):1100-4. PubMed PMID: 12501902.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Outcome of inguinal hernia repair total extraperitoneal laparoscopic hernia repair versus open tension free repair (Lichtenstein technique). A1 - Subwongcharoen,Somboon, PY - 2002/12/28/pubmed PY - 2003/1/24/medline PY - 2002/12/28/entrez SP - 1100 EP - 4 JF - Journal of the Medical Association of Thailand = Chotmaihet thangphaet JO - J Med Assoc Thai VL - 85 IS - 10 N2 - BACKGROUND: Result and efficacy of laparoscopic hernioplasty has been controversial. Many techniques have been performed and evaluated. Totally extraperitoneal laparoscopic hernia repair (TEP) technique has been used for laparoscopic hernioplasty in this center. Complications, benefit and efficacy in terms of recurrence were studied and compared with open tension free repair (Lichtenstein). METHOD: Fifty-five patients with 4 recurrent, 16 bilateral and 35 unilateral groin hernia underwent laparoscopic hernioplasty by the TEP technique. The other twenty-four patients with I recurrent 2 bilateral and 21 unilateral groin hernia underwent Lichtenstein hernioplasty (OH). Operative time, complications, hospital stay and recurrence after 1 year follow-up were recorded. RESULT: Mean operative time was 67.85 +/-21.66 and 55.85 +/- 10.60 minutes. Mean difference was 12.00, 95 per cent CI (1.83, 22.16) p-value 0.02 (TEP and OH). Mean hospital stay was 2.71 +/- 1.29 and 2.38 +/- 0.58 days. Mean difference was 0.33, 95 per cent CI (-0.26, 0.93) p-value 0.27 (TEP and OH) complication rate 12.7 per cent and 12.5 per cent p-value 0.64 (TEP and OH). Most complications were minor such as seroma, hematoma, neuralgia, one case of pubic osteitis needed to remove staples and some parts of the mesh. There was one conversion to open repair due to large sac and large bowel adherence. There was one recurrence after one year follow-up in the laparoscopic group, no major morbidity or mortality in this study. CONCLUSION: This study demonstrated that complications of the TEP technique were minimal and it was safe to perform. Although the operative time was longer and there was one recurrence in the TEP group, that might be because of the early learning period for a new surgical procedure SN - 0125-2208 UR - https://www.unboundmedicine.com/medline/citation/12501902/Outcome_of_inguinal_hernia_repair_total_extraperitoneal_laparoscopic_hernia_repair_versus_open_tension_free_repair__Lichtenstein_technique__ DB - PRIME DP - Unbound Medicine ER -