Advertisement

Technique: Laparoscopic TEP

  • Guy VoellerEmail author
  • Benjamin S. Powell
Chapter

Abstract

Open inguinal hernia repair is one of the most common surgical procedures performed. Laparoscopic repair of inguinal hernia gives excellent results when performed by surgeons expert in the technique and is estimated to make up between 15 and 30% of inguinal hernia repairs in the USA. We believe, however, a good herniologist should have multiple options to offer his/her patients. Most hernia repair methods, both open and laparoscopic, have literature supporting a very low recurrence rate when using mesh. The majority of data does show that the laparoscopic repair leads to less acute pain and quicker recovery, but most importantly, when done correctly, the risk of chronic pain is lower for the laparoscopic repair. Most patients referred for repair are symptomatic, and we advocate fixing all symptomatic inguinal hernias if the patient can tolerate surgery. If the patient is asymptomatic, then we will discuss watchful waiting realizing that many will eventually become symptomatic.

Keywords

Open inguinal hernia repair Inguinal hernia repair Laparoscopic hernia repair TEP inguinal hernia repair Complications in TEP hernia repair 

Suggested Reading

  1. 1.
    Ceccarelli G, Casciola L, Pisanelli MC, Bartoli A, Di Zitti L, Spaziani A, Biancafarina A, Stefanoni M, Patriti A. Comparing fibrin sealant with staples for mesh fixation in laparoscopic transabdominal hernia repair: a case control-study. Surg Endosc. 2008;22(3):668–73.PubMedCrossRefGoogle Scholar
  2. 2.
    Clarke T, Katkhouda N, Mason RJ, Cheng BC, Algra J, Olasky J, Sohn HJ, Moazzez A, Balouch M. Fibrin glue for intraperitoneal laparoscopic mesh fixation: a comparative study in a swine model. Surg Endosc. 2011;25(3):737–48.PubMedCrossRefGoogle Scholar
  3. 3.
    Descottes B, Bagot d’Arc M. Fibrin sealant in inguinal hernioplasty: an observational multicentre study in 1,201 patients. Hernia. 2009;13(5):505–10.PubMedCrossRefGoogle Scholar
  4. 4.
    Katkhouda N, Mavor E, Friedlander MH, Mason RJ, Kiyabu M, Grant SW, Achanta K, Kirkman EL, Narayanan K, Essani R. Use of fibrin sealant for prosthetic mesh fixation in laparoscopic extraperitoneal inguinal hernia repair. Ann Surg. 2001;233(1):18–25.PubMedCrossRefGoogle Scholar
  5. 5.
    Novik B. Randomized trial of fixation vs nonfixation of mesh in total extraperitoneal inguinal hernioplasty. Arch Surg. 2005;140(8):811–2. author reply 812.PubMedCrossRefGoogle Scholar
  6. 6.
    Novik B, Hagedorn S, Mörk UB, Dahlin K, Skullman S, Dalenbäck J. Fibrin glue for securing the mesh in laparoscopic totally extraperitoneal inguinal hernia repair: a study with a 40-month prospective follow-up period. Surg Endosc. 2006;20(3):462–7.PubMedCrossRefGoogle Scholar
  7. 7.
    Olmi S, Scaini A, Erba L, Bertolini A, Croce E. Laparoscopic repair of inguinal hernias using an intraperitoneal onlay mesh technique and a Parietex composite mesh fixed with fibrin glue (Tissucol). Personal technique and preliminary results. Surg Endosc. 2007;21(11):1961–4.PubMedCrossRefGoogle Scholar
  8. 8.
    Ramshaw BJ, Tucker JG, Mason EM, Duncan TD, Wilson JP, Angood PB, Lucas GW. A comparison of transabdominal preperitoneal (TAPP) and total extraperitoneal approach (TEP) laparoscopic herniorrhaphies. Am Surg. 1995;61:279–83.PubMedGoogle Scholar
  9. 9.
    Ramshaw BJ, Tucker JG, Conner T, Mason EM, Duncan TD, Lucas GW. A comparison of the approaches to laparoscopic herniorrhaphy. Surg Endosc. 1996;10:29–32.PubMedCrossRefGoogle Scholar
  10. 10.
    Ramshaw B, Abiad F, Voeller G, Wilson R, Mason E. Polyester (Parietex) mesh for total extraperitoneal laparoscopic inguinal hernia repair: initial experience in the United States. Surg Endosc. 2003;17(3):498–501.PubMedCrossRefGoogle Scholar
  11. 11.
    Taylor C, Layani L, Liew V, Ghusn M, Crampton N, White S. Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial. Surg Endosc. 2008;22(3):757–62.PubMedCrossRefGoogle Scholar
  12. 12.
    Topart P, Vandenbroucke F, Lozac’h P. Tisseel versus tack staples as mesh fixation in totally extraperitoneal laparoscopic repair of groin hernias: a retrospective analysis. Surg Endosc. 2005;19(5):724–7.PubMedCrossRefGoogle Scholar
  13. 13.
    Voeller GR. Management of peritoneal tear during endoscopic extraperitoneal inguinal hernioplasty. Surg Endosc. 2003;17(8):1335. author reply 1336.PubMedCrossRefGoogle Scholar
  14. 14.
    Voeller GR, Mangiante EC, Britt LG. Preliminary evaluation of laparoscopic herniorrhaphy. Surg Laparosc Endosc. 1993;3(2):100–5.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of General SurgeryUniversity of Tennessee Health Science CenterMemphisUSA
  2. 2.Department of SurgeryUniversity of Tennessee Health Science CenterMemphisUSA

Personalised recommendations