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- Title
A 10-year experience of totally extraperitoneal endoscopic repair for adult inguinal hernia.
- Authors
Toma, Hiroki; Eguchi, Toru; Toyoda, Shuichi; Okabe, Yasuhiro; Kobarai, Tomonari; Naritomi, Gen; Ogawa, Takahiro; Hirota, Ichio
- Abstract
Purpose: Laparoscopic surgery is fast becoming the treatment of choice for inguinal hernia. By reviewing our 10-year experience of performing totally extraperitoneal repair (TEP), we sought to establish its clinical significance in the treatment of adult inguinal hernia. Methods: We reviewed retrospectively the clinical records of patients who underwent TEP for adult inguinal hernia between January 2003 and December 2012. Results: None of the 303 patients with adult primary or recurrent inguinal hernia in our study needed TEP converted to other procedures or suffered serious complications during the procedure. A significant difference was noted in the operation time between direct ( n = 32) vs indirect ( n = 128) hernias in the primary unilateral inguinal hernia group (91 ± 27 vs 80 ± 32 min, p = 0.033) and between direct/direct ( n = 31) vs indirect/indirect ( n = 24) hernias (136 ± 58 vs 89 ± 24 min, p = 0.01) in the primary bilateral inguinal hernia group. The only postoperative complications recorded were four cases of hernia recurrence (1.3 %) and one case of chronic pain (0.3 %). Conclusions: The results obtained for TEP over 10 years support this as a promising procedure for the treatment of adult inguinal hernia.
- Subjects
INGUINAL hernia; LAPAROSCOPIC surgery; ADULTS; SURGICAL complications; CHRONIC pain; SURGERY
- Publication
Surgery Today, 2015, Vol 45, Issue 11, p1417
- ISSN
0941-1291
- Publication type
Article
- DOI
10.1007/s00595-014-1101-3