Skip to main content

Advertisement

SpringerLink
Log in

Feasibility and safety of laparoendoscopic single-site surgery of total extraperitoneal inguinal hernia repair after previous open groin hernia repair: a comparative study

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

This study is aimed at evaluating the feasibility and safety of laparoendoscopic single-site surgery (LESS) for totally extraperitoneal (TEP) endoscopic hernia surgery after previous open groin hernia repair that may hamper preperitoneal dissection.

Methods

This prospective cohort study included 213 consecutive patients undergoing LESS TEP hernia repair between January 2009 and December 2013. The study group consisted of 36 patients with a history of previous open inguinal hernia repair before undergoing LESS TEP hernia repair. The study enrolled the other 177 patients who underwent LESS TEP during the same period and were enrolled as the control group. We obtained perioperative data for all patients including demographic data, operation time, length of hospital stay, narcotic dose, conversions, and complications.

Results

A total of 213 patients with inguinal hernia underwent LESS TEP repair. One case in the control group (0.56 %) required conversion to LESS transabdominal preperitoneal hernia repair, while no cases in the study group required conversion. We observed no differences between the two groups in terms of operative time, analgesic use, hospital stay, and postoperative complications.

Conclusions

LESS TEP hernia repair for patients with previous open inguinal hernia repair can be performed safely by experienced surgeons. Operative outcomes were comparable between both the primary inguinal and recurrent hernia groups.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Al-Sahaf O, Al-Azawi D, Fauzi MZ, Cunningham FO, McGrath JP (2008) Totally extraperitoneal laparoscopic inguinal hernia repair is a safe option in patients with previous lower abdominal surgery. J Laparoendosc Adv Surg Tech A 18:353–356

    Article  PubMed  Google Scholar 

  2. Chen X, Li JW, Zhang Y et al (2013) The surgical strategy for laparoscopic approach in recurrent inguinal hernia repair: 213 cases report. Zhonghua Wai Ke Za Zhi 51:792–795

    PubMed  Google Scholar 

  3. Chung SD, Chueh SC, Tsai YC et al (2011) Feasibility and safety of total extraperitoneal inguinal hernia repair after previous lower abdominal surgery: a case–control study. Surg Endosc 25:3353–3356

    Article  PubMed  Google Scholar 

  4. Dulucq JL, Wintringer P, Mahajna A (2006) Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery: is it safe? A prospective study. Surg Endosc 20:473–476

    Article  PubMed  Google Scholar 

  5. Dulucq JL, Wintringer P, Mahajna A (2009) Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years. Surg Endosc 23:482–486

    Article  PubMed  Google Scholar 

  6. Eklund AS, Montgomery AK, Rasmussen IC, Sandbue RP, Bergkvist LA, Rudberg CR (2009) Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5-year follow-up. Ann Surg 249:33–38

    Article  PubMed  Google Scholar 

  7. Eklund A, Montgomery A, Bergkvist L, Rudberg C, Swedish Multicentre Trial of Inguinal Hernia Repair by Laparoscopy (SMIL) Study Group (2010) Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Br J Surg 97:600–608

    Article  CAS  PubMed  Google Scholar 

  8. Felix EL, Michas CA, Gonzalez MH Jr (1996) Laparoscopic repair of recurrent hernia. Am J Surg 172:580–583 (discussion 3–4)

    Article  CAS  PubMed  Google Scholar 

  9. Fitzgibbons RJ, Camps J, Cornet DA (1995) Laparoscopic inguinal herniorrhaphy: results of a multicenter trial. Ann Surg 221:3–13

    Article  PubMed  PubMed Central  Google Scholar 

  10. Gong K, Zhang N, Lu Y, Zhu B, Zhang Z, Du D, Zhao X, Jiang H (2011) Comparison of the open tension-free mesh-plug, trans-abdominal preperitoneal (TAPP), and totally extraperitoneal (TEP) laparoscopic techniques for primary unilateral inguinal hernia repair: a prospective randomized controlled trial. Surg Endosc 25:234–239

    Article  PubMed  Google Scholar 

  11. Johanet H, Cossa JP, Chosidow D et al (1999) Laparoscopic treatment of recurrent inguinal hernia after only mesh. Ann Chir 53:29–31 (discussion 32)

    CAS  PubMed  Google Scholar 

  12. Lal P, Kajla RK, Chander J, Saha R, Ramteke VK (2003) Randomised controlled study of total extraperitoneal versus open Lichtenstein inguinal hernia repair. Surg Endosc 17:850–856

    Article  PubMed  Google Scholar 

  13. Langeveld HR, Van’t Riet M, Weidema WF, Stassen LP, Steyer-Berg EW, Lange J, Bonjer HJ, Jeekel J (2010) Total extraperitoneal inguinal hernia repair compared with Lichtenstein (the LEVEL-Trial): a randomized controlled trial. Ann Surg 251:819–824

    Article  PubMed  Google Scholar 

  14. Li J, Ji Z, Li Y (2014) Comparison of laparoscopic versus open procedure in the treatment of recurrent inguinal hernia: a meta-analysis of the results. Am J Surg 207:602–612

    Article  PubMed  Google Scholar 

  15. Mok KT, Wang BW, Chang HT et al (1998) Laparoscopic versus open preperitoneal prosthetic herniorrhaphy for recurrent inguinal hernia. Int Surg 83:174–176

    CAS  PubMed  Google Scholar 

  16. Myers E, Browne KM, Kavanagh DO, Hurley M (2010) Laparoscopic (TEP) versus Lichtenstein inguinal hernia repair: a comparison of quality-of-life outcomes. World J Surg 34:3059–3064

    Article  PubMed  Google Scholar 

  17. Paterson HM, Casey JJ, Nixon SJ (2005) Totally extraperitoneal laparoscopic hernia repair in patients with previous lower abdominal surgery. Hernia 9:228–230

    Article  CAS  PubMed  Google Scholar 

  18. Pisanu A, Podda M, Saba A, Porceddu G, Uccheddu A (2015) Meta-analysis and review of prospective randomized trials comparing laparoscopic and Lichtenstein techniques in recurrent inguinal hernia repair. Hernia 19:355–366

    Article  CAS  PubMed  Google Scholar 

  19. Ramshaw BJ, Tucker J, Duncan T et al (1996) The effect of previous lower abdominal surgery on performing the total extraperitoneal approach to laparoscopic herniorrhaphy. Am Surg 62:292–294

    CAS  PubMed  Google Scholar 

  20. Siddiqui MR, Kovzel M, Brennan SJ et al (2014) The role of the laparoendoscopic single site totally extraperitoneal approach to inguinal hernia repairs: a review and meta-analysis of the literature. Can J Surg 57:116–126

    Article  PubMed  PubMed Central  Google Scholar 

  21. Tai HC, Lin CD, Chung SD et al (2011) A comparative study of standard versus laparoendoscopic single-site surgery (LESS) totally extraperitoneal (TEP) inguinal hernia repair. Surg Endosc 25:2879–2883

    Article  PubMed  Google Scholar 

  22. Tsai YC, Ho CH, Tai HC et al (2013) Laparoendoscopic single-site versus conventional laparoscopic total extraperitoneal hernia repair: a prospective randomized clinical trial. Surg Endosc 27:4684–4692

    Article  PubMed  Google Scholar 

  23. Yang J, da Tong N, Yao J, Chen W (2013) Laparoscopic or Lichtenstein repair for recurrent inguinal hernia: a meta-analysis of randomized controlled trials. ANZ J Surg 83:312–318

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Urology, Department of Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, New Taipei, Taiwan

    Chia-Da Lin, Chih-Hsuan Wu, Ying-Buh Liu & Yao-Chou Tsai

Authors
  1. Chia-Da Lin
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Chih-Hsuan Wu
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ying-Buh Liu
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Yao-Chou Tsai
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Chia-Da Lin.

Ethics declarations

Disclosures

Chia-Da Lin, Chih-Hsuan Wu, Ying-Buh Liu, and Yao-Chou Tsai have no conflicts of interest or financial ties to disclose.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lin, CD., Wu, CH., Liu, YB. et al. Feasibility and safety of laparoendoscopic single-site surgery of total extraperitoneal inguinal hernia repair after previous open groin hernia repair: a comparative study. Surg Endosc 30, 2086–2089 (2016). https://doi.org/10.1007/s00464-015-4461-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-015-4461-x

Keywords

Search

Navigation