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Female 'groin' hernia: totally extraperitoneal (TEP) endoscopic repair seems the most appropriate treatment modality.
Hernia. 2012 Aug; 16(4):387-92.H

Abstract

BACKGROUND

About 30% of all female 'groin' hernias are femoral hernias, although often only diagnosed during surgery. A Lichtenstein repair though, as preferred treatment modality according to guidelines, would not diagnose and treat femoral hernias. Totally extraperitoneal (TEP) hernia repair, however, offers the advantage of being an appropriate modality for the diagnosis and subsequent treatment of both inguinal and femoral hernias. TEP therefore seems an appealing surgical technique for women with groin hernias.

METHODS

This study included all female patients ≥ 18 years operated for a groin hernia between 2005 and 2009.

RESULTS

A total of 183 groin hernias were repaired in 164 women. TEP was performed in 85% of women; the other 24 women underwent an open anterior (mesh) repair. Peroperatively, femoral hernias were observed in 23% of patients with primary hernias and 35% of patients with recurrent hernias. There were 30 cases (18.3%) of an incorrect preoperative diagnosis. Peroperatively, femoral hernias were observed in 17.3% of women who were diagnosed with an inguinal hernia before surgery. In addition, inguinal hernias were found in 24.0% of women who were diagnosed with a femoral hernia preoperatively. After a follow-up of 25 months, moderate to severe (VAS 4-10) postoperative pain was reported by 8 of 125 patients (6.4%) after TEP and 5 of 23 patients (21.7%) after open hernia repair (P = 0.03). Five patients had a recurrent hernia, two following TEP (1.4%) and three following open anterior repair (12.5%, P = 0.02). Two of these three patients presented with a femoral recurrence after a previous repair of an inguinal hernia.

CONCLUSION

Femoral hernias are common in women with groin hernias, but not always detected preoperatively; this argues for the use of a preperitoneal approach. TEP hernia repair combines the advantage of a peroperative diagnosis and subsequent appropriate treatment with the known good clinical outcomes.

Authors+Show Affiliations

Department of Surgery/Hernia Clinic, Diakonessenhuis Utrecht/Zeist, Professor Lorentzlaan 76, 3707 HL, Zeist, The Netherlands. nschouten@diakhuis.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

22366998

Citation

Schouten, N, et al. "Female 'groin' Hernia: Totally Extraperitoneal (TEP) Endoscopic Repair Seems the Most Appropriate Treatment Modality." Hernia : the Journal of Hernias and Abdominal Wall Surgery, vol. 16, no. 4, 2012, pp. 387-92.
Schouten N, Burgmans JP, van Dalen T, et al. Female 'groin' hernia: totally extraperitoneal (TEP) endoscopic repair seems the most appropriate treatment modality. Hernia. 2012;16(4):387-92.
Schouten, N., Burgmans, J. P., van Dalen, T., Smakman, N., Clevers, G. J., Davids, P. H., Verleisdonk, E. J., Elias, S. G., & Simmermacher, R. K. (2012). Female 'groin' hernia: totally extraperitoneal (TEP) endoscopic repair seems the most appropriate treatment modality. Hernia : the Journal of Hernias and Abdominal Wall Surgery, 16(4), 387-92. https://doi.org/10.1007/s10029-012-0904-7
Schouten N, et al. Female 'groin' Hernia: Totally Extraperitoneal (TEP) Endoscopic Repair Seems the Most Appropriate Treatment Modality. Hernia. 2012;16(4):387-92. PubMed PMID: 22366998.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Female 'groin' hernia: totally extraperitoneal (TEP) endoscopic repair seems the most appropriate treatment modality. AU - Schouten,N, AU - Burgmans,J P J, AU - van Dalen,T, AU - Smakman,N, AU - Clevers,G J, AU - Davids,P H P, AU - Verleisdonk,E J M M, AU - Elias,S G, AU - Simmermacher,R K J, Y1 - 2012/02/25/ PY - 2011/08/10/received PY - 2012/02/07/accepted PY - 2012/2/28/entrez PY - 2012/3/1/pubmed PY - 2012/12/14/medline SP - 387 EP - 92 JF - Hernia : the journal of hernias and abdominal wall surgery JO - Hernia VL - 16 IS - 4 N2 - BACKGROUND: About 30% of all female 'groin' hernias are femoral hernias, although often only diagnosed during surgery. A Lichtenstein repair though, as preferred treatment modality according to guidelines, would not diagnose and treat femoral hernias. Totally extraperitoneal (TEP) hernia repair, however, offers the advantage of being an appropriate modality for the diagnosis and subsequent treatment of both inguinal and femoral hernias. TEP therefore seems an appealing surgical technique for women with groin hernias. METHODS: This study included all female patients ≥ 18 years operated for a groin hernia between 2005 and 2009. RESULTS: A total of 183 groin hernias were repaired in 164 women. TEP was performed in 85% of women; the other 24 women underwent an open anterior (mesh) repair. Peroperatively, femoral hernias were observed in 23% of patients with primary hernias and 35% of patients with recurrent hernias. There were 30 cases (18.3%) of an incorrect preoperative diagnosis. Peroperatively, femoral hernias were observed in 17.3% of women who were diagnosed with an inguinal hernia before surgery. In addition, inguinal hernias were found in 24.0% of women who were diagnosed with a femoral hernia preoperatively. After a follow-up of 25 months, moderate to severe (VAS 4-10) postoperative pain was reported by 8 of 125 patients (6.4%) after TEP and 5 of 23 patients (21.7%) after open hernia repair (P = 0.03). Five patients had a recurrent hernia, two following TEP (1.4%) and three following open anterior repair (12.5%, P = 0.02). Two of these three patients presented with a femoral recurrence after a previous repair of an inguinal hernia. CONCLUSION: Femoral hernias are common in women with groin hernias, but not always detected preoperatively; this argues for the use of a preperitoneal approach. TEP hernia repair combines the advantage of a peroperative diagnosis and subsequent appropriate treatment with the known good clinical outcomes. SN - 1248-9204 UR - https://www.unboundmedicine.com/medline/citation/22366998/Female_'groin'_hernia:_totally_extraperitoneal__TEP__endoscopic_repair_seems_the_most_appropriate_treatment_modality_ L2 - https://dx.doi.org/10.1007/s10029-012-0904-7 DB - PRIME DP - Unbound Medicine ER -