Cargando…
Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP)
BACKGROUND: The guidelines recommend laparoscopic repair for bilateral inguinal hernia. However, few studies compare the totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) techniques in bilateral inguinal hernias. This study aimed to compare the outcomes of TEP and TAPP in bilater...
Autores principales: | , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2023
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10481522/ https://www.ncbi.nlm.nih.gov/pubmed/37674142 http://dx.doi.org/10.1186/s12893-023-02177-2 |
_version_ | 1785101993748987904 |
---|---|
author | Hidalgo, Nils Jimmy Guillaumes, Salvador Bachero, Irene Butori, Eugenia Espert, Juan José Ginestà, César Vidal, Óscar Momblán, Dulce |
author_facet | Hidalgo, Nils Jimmy Guillaumes, Salvador Bachero, Irene Butori, Eugenia Espert, Juan José Ginestà, César Vidal, Óscar Momblán, Dulce |
author_sort | Hidalgo, Nils Jimmy |
collection | PubMed |
description | BACKGROUND: The guidelines recommend laparoscopic repair for bilateral inguinal hernia. However, few studies compare the totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) techniques in bilateral inguinal hernias. This study aimed to compare the outcomes of TEP and TAPP in bilateral inguinal hernia. METHODS: We conducted a retrospective cohort study of patients operated on for bilateral inguinal hernia by TEP and TAPP repair from 2016 to 2020. Intraoperative complications, operative time, acute postoperative pain, hospital stay, postoperative complications, chronic inguinal pain, and recurrence were compared. RESULTS: A total of 155 patients were included in the study. TEP was performed in 71 patients (46%) and TAPP in 84 patients (54%). The mean operative time was longer in the TAPP group than in the TEP group (107 min vs. 82 min, p < 0.001). The conversion rate to open surgery was higher in the TEP group than in the TAPP group (8.5% vs. 0%, p = 0.008). The mean hospital stay was longer in the TAPP group than in the TEP group (p < 0.001). We did not observe significant differences in the proportion of postoperative complications (p = 0.672), postoperative pain at 24 h (p = 0.851), chronic groin pain (p = 0.593), and recurrence (p = 0.471). We did not observe an association between the choice of surgical technique (TEP vs. TAPP) with conversion rate, operative time, hospital stay, postoperative complications, chronic inguinal pain, or hernia recurrence when performing a multivariable analysis adjusted for the male sex, age, BMI, ASA, recurrent hernia repair, surgeon, and hernia size > 3cm. CONCLUSIONS: Bilateral inguinal hernia repair by TEP and TAP presented similar outcomes in our study. |
format | Online Article Text |
id | pubmed-10481522 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-104815222023-09-07 Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP) Hidalgo, Nils Jimmy Guillaumes, Salvador Bachero, Irene Butori, Eugenia Espert, Juan José Ginestà, César Vidal, Óscar Momblán, Dulce BMC Surg Research BACKGROUND: The guidelines recommend laparoscopic repair for bilateral inguinal hernia. However, few studies compare the totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) techniques in bilateral inguinal hernias. This study aimed to compare the outcomes of TEP and TAPP in bilateral inguinal hernia. METHODS: We conducted a retrospective cohort study of patients operated on for bilateral inguinal hernia by TEP and TAPP repair from 2016 to 2020. Intraoperative complications, operative time, acute postoperative pain, hospital stay, postoperative complications, chronic inguinal pain, and recurrence were compared. RESULTS: A total of 155 patients were included in the study. TEP was performed in 71 patients (46%) and TAPP in 84 patients (54%). The mean operative time was longer in the TAPP group than in the TEP group (107 min vs. 82 min, p < 0.001). The conversion rate to open surgery was higher in the TEP group than in the TAPP group (8.5% vs. 0%, p = 0.008). The mean hospital stay was longer in the TAPP group than in the TEP group (p < 0.001). We did not observe significant differences in the proportion of postoperative complications (p = 0.672), postoperative pain at 24 h (p = 0.851), chronic groin pain (p = 0.593), and recurrence (p = 0.471). We did not observe an association between the choice of surgical technique (TEP vs. TAPP) with conversion rate, operative time, hospital stay, postoperative complications, chronic inguinal pain, or hernia recurrence when performing a multivariable analysis adjusted for the male sex, age, BMI, ASA, recurrent hernia repair, surgeon, and hernia size > 3cm. CONCLUSIONS: Bilateral inguinal hernia repair by TEP and TAP presented similar outcomes in our study. BioMed Central 2023-09-06 /pmc/articles/PMC10481522/ /pubmed/37674142 http://dx.doi.org/10.1186/s12893-023-02177-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Hidalgo, Nils Jimmy Guillaumes, Salvador Bachero, Irene Butori, Eugenia Espert, Juan José Ginestà, César Vidal, Óscar Momblán, Dulce Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP) |
title | Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP) |
title_full | Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP) |
title_fullStr | Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP) |
title_full_unstemmed | Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP) |
title_short | Bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (TEP) vs. laparoscopic transabdominal preperitoneal (TAPP) |
title_sort | bilateral inguinal hernia repair by laparoscopic totally extraperitoneal (tep) vs. laparoscopic transabdominal preperitoneal (tapp) |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10481522/ https://www.ncbi.nlm.nih.gov/pubmed/37674142 http://dx.doi.org/10.1186/s12893-023-02177-2 |
work_keys_str_mv | AT hidalgonilsjimmy bilateralinguinalherniarepairbylaparoscopictotallyextraperitonealtepvslaparoscopictransabdominalpreperitonealtapp AT guillaumessalvador bilateralinguinalherniarepairbylaparoscopictotallyextraperitonealtepvslaparoscopictransabdominalpreperitonealtapp AT bacheroirene bilateralinguinalherniarepairbylaparoscopictotallyextraperitonealtepvslaparoscopictransabdominalpreperitonealtapp AT butorieugenia bilateralinguinalherniarepairbylaparoscopictotallyextraperitonealtepvslaparoscopictransabdominalpreperitonealtapp AT espertjuanjose bilateralinguinalherniarepairbylaparoscopictotallyextraperitonealtepvslaparoscopictransabdominalpreperitonealtapp AT ginestacesar bilateralinguinalherniarepairbylaparoscopictotallyextraperitonealtepvslaparoscopictransabdominalpreperitonealtapp AT vidaloscar bilateralinguinalherniarepairbylaparoscopictotallyextraperitonealtepvslaparoscopictransabdominalpreperitonealtapp AT momblandulce bilateralinguinalherniarepairbylaparoscopictotallyextraperitonealtepvslaparoscopictransabdominalpreperitonealtapp |