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Total extraperitoneale Patchplastik (TEP): Standardtechnik, Risiken und Komplikationen

  • Ferdinand Köckerling
  • Pradeep Chowbey
  • Davide Lomanto
  • Maurice E. Arregui

Zusammenfassung

Die Standardtechnik der extraperitonealen Patchplastik (TEP) sollte entsprechend der Empfehlungen in den Guidelines der internationalen Fachgesellschaften vorgenommen werden. Die Details der Standardtechnik der TEP werden in diesem Kapitel besprochen. Spezielle Risiken bei der TEP stellen die Operation von beidseitigen Leistenhernien, Rezidivleistenhernien, Skrotalhernien, inkarzerierten Leistenhernien, Leistenhernien nach vorausgegangenen Operationen im Unterbauch und im kleinen Becken und Aszites, Leistenhernien bei Patienten mit Koagulopathie oder antithrombotischer Therapie sowie im höheren Alter dar. Hier gilt es, insbesondere die Indikation zu einem endoskopischen Verfahren unter Abwägung der Risiken und des Nutzens für den Patienten zu stellen. Der Prävention von Komplikationen wird in diesem Kapitel besondere Aufmerksamkeit geschenkt. Aber auch die Behandlung von eingetretenen intra- und postoperativen Komplikationen wird ausführlich dargestellt. Bei sorgfältiger Beachtung der dargestellten Standardtechnik der TEP, ihrer Risiken und der Strategien zur Komplikationsprävention ist dem Leser das theoretische Rüstzeug an die Hand gegeben, die TEP mit einer niedrigen Komplikationsrate in der Praxis umzusetzen.

Literatur

  1. Arregui ME, Davis CJ, Yucel O, Nagan RF (1992) Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report. Surg Larasc Endosc 2 (1): 53–8Google Scholar
  2. Bay-Nielsen M, Kehlet H (2008) Anaesthesia and post-operative morbidity after elective groin hernia repair: a nation-wide study. Acta Anaesthesiol Scand 52 (2): 169–74CrossRefPubMedGoogle Scholar
  3. Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RL, Fortelny RH, Klinge U, Köckerling F, Kuhry E, Kukleta J, Lomanto D, Misra MC, Montgomery A, Morales-Conde S, Reinpold W, Rosenberg J, Sauerland S, Schug-Paß C, Singh K, Timoney M, Weyhe D, Chowbey P (2011) Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc 25 (9): 2773–843CrossRefPubMedPubMedCentralGoogle Scholar
  4. Bittner R, Montgomery MA, Arregui E, Bansal V, Bingener J, Bisgaard T, Buhck H, Dudai M, Ferzli GS, Fitzgibbons RJ, Fortelny RH, Grimes KL, Klinge U, Koeckerling F, Kumar S, Kukleta J, Lomanto D, Misra MC, Morales-Conde S, Reinpold W, Rosenberg J, Singh K, Timoney M, Weyhe D, Chowbey P (2015) Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society). Surg Endosc 29: 289–321CrossRefPubMedPubMedCentralGoogle Scholar
  5. Bringman S, Ek A, Haglind E, Heikkinen T, Kald A, Kylberg F, Ramel S, Wallon C, Anderberg B (2001) Is a dissiction balloon beneficial in totally extraperitoneal endoscopic herniaplasty (TEP)? A randomized prospective multicenter study. Surg Endosc 15 (3): 255–70CrossRefPubMedGoogle Scholar
  6. Burcharth J, Pommergaard HC, Bisgaard T, Rosenberg J (2015) Patient-related risk factors for recurrence after inguinal hernia repair: a systematic review and meta-analysis of observational studies. Surg Innov 22 (3): 303–17CrossRefPubMedGoogle Scholar
  7. Choi YY, Kim Z, Hur KY (2011) Laparoscopic total extraperitoneal repair for incarcerated inguinal hernia. J Korean Surg Soc 80 (6): 426–30CrossRefPubMedPubMedCentralGoogle Scholar
  8. Chow PM, Su YR, Chen YS (2013) A rare complication from total extraperitoneal (TEP) laparoscopic inguinal hernia repair: bladder rupture associated with a balloon dissector. Hernia 17 (6): 797–9CrossRefPubMedGoogle Scholar
  9. Chowbey P (2004) Conversion and complications in total extraperitoneal repair. In: Chowbey P (ed) Endoscopic repair of abdominal wall hernias. Byword Viva Publishers, New DelhiGoogle Scholar
  10. Chowbey PK, Mithavala M, Khullar R, Sharma A, Soni V, Baijal M (2006) Complications in groin hernia surgery and the way out. J Minim Access Surg 2 (3): 174–177CrossRefPubMedPubMedCentralGoogle Scholar
  11. Chowbey PK, Pithawala M, Khullar R, Sharma A, Soni V, Baijal M (2006) Totally extraperitoneal repair of inguinal hernia: A case for bilateral repair. J Minim Access Surg 2 (3): 171–3CrossRefPubMedPubMedCentralGoogle Scholar
  12. Chung SD, Huang CY, Chueh SC, Tsai YC, Yu HJ (2011) Feasibility and safety of total extraperitoneal inguinal hernia repair after previous lower abdominal surgery: a case-control study. Surg Endosc 25 (10): 3353–6CrossRefPubMedGoogle Scholar
  13. Corbitt JD Jr (1991) Laparoscopic herniorrhaphy. Surg Lanarsc Endosc 1 (1): 23–5Google Scholar
  14. Dedemadi G, Sgourakis G, Radtke A, Dounavis A, Gockel I, Fouzas I, Karaliotas C, Anagnostou E (2010) Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes. Am J Surg 200 (2): 291–7CrossRefPubMedGoogle Scholar
  15. Dulucq JL (1991) Traitement des hernies de l’aine par mise en place d’un patch prothetique sous-peritoneal en retroperitoneoscopie. Cahiers Chir 79: 15–16Google Scholar
  16. 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: 482–486CrossRefPubMedGoogle Scholar
  17. Elshof JWM, Keus F, Burgmans JPJ, Clevers GJ, Davids PHP, van Dalen T (2009) Feasibility of right-side total extraperitoneal procedure for inguinal hernia repair after appendectomy: a prospective cohort study. Surg Endsc 23: 1754–1758CrossRefPubMedPubMedCentralGoogle Scholar
  18. Ferzli G, Shapiro K, Chaudry G, Patel S (2004) Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc 18: 228–231CrossRefPubMedGoogle Scholar
  19. Ferzli GS, Massaad A, Albert P (1992) Extraperitoneal endoscopic inguinal hernia repair. J Laparosendosc Surg 2 (6): 281–6CrossRefPubMedGoogle Scholar
  20. Ferzli GS, Massaad A, Dysarz FA 3rd, Kopatsis A (1993) A study of 101 patients treated with extraperitoneal endoscopic laparoscopic herniorrhaphy. Am Surg 59 (11): 707–8Google Scholar
  21. Gass M, Rosella L, Banz V, Candinas D, Güller U (2012) Bilateral total extraperitoneal inguinal hernia repair (TEP) has outcomes similar to those for unilateral TEP: population-based analysis of prospective data of 6,505 patients. Surg Endosc 26 (5): 1364–8CrossRefPubMedGoogle Scholar
  22. Heithold DL, Ramshaw BJ, Mason EM, Duncan TD, White J, Dozier AF, Tucker JG, Wilson JP, Lucas GW (1997) 500 total extraperitoneal approach laparoscopic herniorrhaphies: a single-institution review. Am Surg 63 (4): 299–301Google Scholar
  23. Hoffman A, Leshem E, Zmora O, Nachtomi O, Shabtai M, Ayalon A, Rosin D (2010) The compined laparoscopic approach for the treatment of incarcerated inguinal hernia. Surg Endsoc 24: 1815–1818CrossRefPubMedGoogle Scholar
  24. Karthikesalingam A, Marka SR, Holt PJ, Praseedom RK (2010) Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of laparoscopic with open mesh repair of recurrent inguinal hernia. Br J Surg 97 (1): 4–11CrossRefGoogle Scholar
  25. Köckerling F, Schug-Pass C (2014) Tailored approach in inguinal hernia repair – decision tree based on the guidelines. Frontiers in Surgery 1: 1–4Google Scholar
  26. Köckerling F, Bittner R, Jacob D, Schug-Pass C, Laurenz C, Adolf D, Keller T, Stechemesser B (2015) Do we need antibiotic prophylaxis in endoscopic inguinal hernia repair? Results of the Herniamed Registry. Surg Endosc 29 (12): 3741–9CrossRefPubMedPubMedCentralGoogle Scholar
  27. Köckerling F, Jacob D, Wiegank W, Hukauf M, Schug-Pass C (2016) Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome? Surg Endosc 30: 1146–1155CrossRefPubMedPubMedCentralGoogle Scholar
  28. Köckerling F, Roessing C, Adolf D, Schug-Pass C, Jacob D (2016) Has endoscopic (TEP, TAPP) or open inguinal hernia repair a higher risk of bleeding in patients with coagulopathy or antithrombotic therapy? Data from the Herniamed Registry. Surg Endosc 30: 2073–2081CrossRefPubMedPubMedCentralGoogle Scholar
  29. Köckerling F, Schug-Pass C, Adolf D, Keller T, Kuthe A (2015) Bilateral and unilateral total extraperitoneal inguinal hernia repair (TEP) have equivalent early outcomes: Analysis of 9395 cases. World J Surg 39: 1887–1894CrossRefPubMedPubMedCentralGoogle Scholar
  30. Köckerling F, Stechemesser B, Hukauf M, Kuthe A, Schug-Pass C (2016) TEP versus Lichtenstein: Which technique is better for the repair of primary unilateral inguinal hernias in men? Surg Endosc 30 (8): 3304–13CrossRefPubMedPubMedCentralGoogle Scholar
  31. Kuthe A, Saemann T, Tamme C, Köckerling F (1998) Technique of total extraperitoneal endoscopic hernioplasty of the inguinal canal. Zentralbl Chir 123 (12): 1428–35Google Scholar
  32. Lal P, Philips P, Chander J, Ramteke VK (2010) Is unilateral laparoscopic TEP inguinal hernia repair a job half done? The case for bilateral repair. Surg Endosc 24 (7): 1737–45CrossRefPubMedGoogle Scholar
  33. Le Page P, Smiealkowski A, Morton J, Fenton-Lee D (2013) Totally extraperitoneal inguinal hernia repair in patients previously having prostatectomy is feasible, safe, and effective. Surg Endosc 27: 4485–4490CrossRefPubMedGoogle Scholar
  34. 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 (4): 602–612CrossRefPubMedGoogle Scholar
  35. Lomanto D, Katara AN (2006) Managing intra-operative complications during totally extraperitoneal repair of inguinal hernia. J Minim Access Surg 2 (3): 165–170CrossRefPubMedPubMedCentralGoogle Scholar
  36. Lundström KJ, Sandblom G, Smedberg S, Nordin P (2012) Risk factors for complications in groin hernia surgery: a national register study. Ann Surg 255 (4): 784–8CrossRefPubMedGoogle Scholar
  37. Mayer F, Lechner M, Adolf D, Öfner D, Köhler G, Fortelny R, Bittner R, Köckerling F (2016) Is the age of >65 years a risk factor for endoscopic treatment of primary inguinal hernia? Analysis of 24,571 patients from the Herniamed Registry. Surg Endosc 30: 296–306CrossRefPubMedPubMedCentralGoogle Scholar
  38. McKernan JB, Laws HL (1993) Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc 7 (1): 26–8CrossRefPubMedGoogle Scholar
  39. Meyer A, Blanc P, Balique JG, Kitamura M, Trullenque Juan R, Delacoste F, Atger J (2013) Laparoscopic totally extraperitoneal inguinal hernia repair. Twenty-seven serious complications after 4565 consecutive operation. Rev Col Bras Cir 40 (1): 032–036Google Scholar
  40. Miserez M, Peeters E, Aufenacker T, Bouillot JL, Campanelli G, Conze J, Fortelny R, Heikkinen T, Jorgensen LN, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Simons MP (2014) Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 18: 151–163CrossRefPubMedGoogle Scholar
  41. Mishra RK (2013) Totally extraperitoneal (TEP) hernia repair. In: Mishra RK (ed) Laparoscopic hernia repair. Jaypee Brothers Medical Publishers, New DelhiCrossRefGoogle Scholar
  42. Paterson HM, Casey JJ, Nixon SJ (2005) Totally extraperitoneal laparoscopic hernia repair in patients with previous lower abdominal surgery. Hernia 9 (3): 228–30CrossRefPubMedGoogle Scholar
  43. Phillips EH, Carroll BJ, Fallas MJ (1993) Laparoscopic preperitoneal inguinal hernia repair without peritoneal incision. Technique and early clinical results. Surg Endosc 7 (3): 159–62CrossRefPubMedGoogle Scholar
  44. 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 (3): 355–66CrossRefPubMedGoogle Scholar
  45. Poelman MM, van den Heuvel B, Deelder JD, Abis GSA, Beudeker N, Bittner R, Campanelli G, van Dam D, Dwars BJ, Eker HH, Fingerhut A, Khatkov I, Koeckerling F, Kukleta JF, Miserez M, Montgomery A, Munoz Brands RM, Morales-Conde S, Muysoms FE, Soltes M, Tromp W. Yavuz Y, Bonjer HJ (2013) EAES Consensus Development Conference on endoscopic repair of groin hernias. Surg Endosc 27: 3505–3519CrossRefPubMedGoogle Scholar
  46. Popp LW (1990) Endoscopic patch repair of inguinal hernia in a female patient. Surgical Endoscopy 4 (1): 10–12Google Scholar
  47. Putnis S, Berney CR (2012) Totally extraperitoneal repair of inguinal hernia: techniques and pitfalls of a challenging procedure. Langenbecks Arch Surg 397: 1343–1351CrossRefPubMedGoogle Scholar
  48. Saggar VR, Sarangi R (2005) Endoscopic totally extraperitoneal repair of incarcerated inguinal hernia. Hernia 9: 120–124CrossRefPubMedGoogle Scholar
  49. Saggar VR, Singhal A, Singh K, Sharma B, Sarangi R (2008) Factors influencing development of subcutaneous carbon dioxide emphysema in laparoscopic totally extraperitoneal inguinal hernia repair. J Laparoendosc Adv Surg Tech 18 (2): 213–6CrossRefGoogle Scholar
  50. Sasaki A, Takeuchi Y, Izumi K, Morimoto A, Inomata M, Kitano S (2016) Two-stage laparoscopic treatment for strangulated inguinal, femoral and obturator hernias: totally extraperitoneal repair followed by intestinal resection assisted by intraperitoneal laparoscopic exploration. Hernia 20 (3): 483–8CrossRefPubMedGoogle Scholar
  51. Schouten N, van Dalen T, Smakman N, Clevers GJ, Davids PHP, Verleisdonk EJMM, Tekatli H, Burgmans JPJ (2012) Impairment of sexual activity before and after endoscopic totally extraperitoneal (TEP) hernia repair. Surg Endosc 26: 230–234CrossRefPubMedGoogle Scholar
  52. Schultz C, Baca I, Götzen V (2001) Laparoscopic inguinal hernia repair. Surg Endosc 15 (6): 582–4CrossRefPubMedGoogle Scholar
  53. Sevonius D, Gunnarsson U, Nordin P, Nilsson E, Sandblom G (2011) Recurrent groin hernia surgery. Br J Surg 98 (10): 1489–94CrossRefPubMedGoogle Scholar
  54. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R. Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13: 343–403CrossRefPubMedPubMedCentralGoogle Scholar
  55. Singh K, Singhal A, Saggar VR, Sharma B, Sarangi R (2004) Subcutaneous carbon dioxide emphysema following endoscopic extraperitoneal hernia repair: possible mechanismus. J Laparoendosc Adv Surg Tech 14 (5): 317–20CrossRefGoogle Scholar
  56. Sivasankaran MV, Pham T, Divino CM (2014) Incidence and risk factors for urinary retention following laparoscopic inguinal hernia repair. Am J Surg 207 (2): 288–92CrossRefPubMedGoogle Scholar
  57. Slater GH, Jourdan I, Fölscher DJ, Snook AL, Cooper M, D’Allessandro P, Rangeley C, Bailey ME (2001) The Gildford MATTU TEP hernia model. Surg Endosc 15: 493–496CrossRefPubMedGoogle Scholar
  58. Tamme C, Scheidbach H, Hampe C, Schneider C, Köckerling F (2003) Totally extraperitoneal endoscopic inguinal hernia repair (TEP). Surg Endosc 17 (2): 190–5Google Scholar
  59. Voorbrood CE, Burgmans JP, Clevers GJ, Davids PH, Verleisdonk EJ, van Dalen T (2015) Totally extraperitoneal (TEP) endoscopic hernia repair in elderly patients. Hernia 19 (6): 887–91CrossRefPubMedGoogle Scholar
  60. Wauschkuhn CA, Schwarz J, Boekeler U, Bittner R (2010) Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature. Surg Endosc 24 (12): 3026–30CrossRefPubMedGoogle Scholar
  61. Yang J, Tong DN, Yao J, Chen W (2013) Laparoscopic or Lichtenstein repair for recurrent inguinal hernia: a meta-analysis of randomized controlled trials. ANZ J Surg 83 (5): 312–318CrossRefPubMedGoogle Scholar
  62. Zanella S, Vassiliadis A, Buccelletti F, Lauro E, Ricci F, Lumachi F (2015) Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair in the Elderly: A Prospective Control Study. In Vivo 29 (4): 493–6Google Scholar
  63. Zendejas B, Cook D, Bingener J, Huebner M, Dunn WJ, Sarr MG, Farley DR (2011) Simulation-Based Mastery Learning Improves Patient Outcomes in Laparoscopic Inguinal Hernia Repair. Annals of Surgery 254 (3): 502–511CrossRefPubMedGoogle Scholar
  64. Zendejas B, Onkendi EO, Brahmbhatt RD, Greenlee SM, Lohse CM, Farley DR (2011) Contralateral metachronous inguinal hernias in adults: role for prophylaxis during the TEP repair. Hernia 15 (4): 403–8CrossRefPubMedGoogle Scholar
  65. Zendejas B, Onkendi EO, Brahmbhatt RD, Lohse, CM, Greenland SM, Farley DR (2011) Long-term outcomes of laparoscopic totally extraperitoneal inguinal hernia repairs performed by supervised surgical trainees. Am J Surg 201: 379–384CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  • Ferdinand Köckerling
    • 1
  • Pradeep Chowbey
    • 2
  • Davide Lomanto
    • 3
  • Maurice E. Arregui
    • 4
  1. 1.Chirurgie – Visceral- und Gefäßchirurgie; Vivantes Klinikum SpandauZentrum für Minimal Invasive ChirurgieBerlinDeutschland
  2. 2.Institute of Minimal Access, Metabolic & Bariatric SurgeryMax Super Speciality HospitalNew DelhiIndien
  3. 3.Khoo Teck Puat Advanced Surgery Training Centre (ASTC)National University HospitalSingaporeSingapur
  4. 4.IndianapolisUSA

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