Inguinal hernia repair via laparoscopic transabdominalpreperitoneal (TAPP) method: Our 2 years clinical results

Aim: Inguinal hernia repair is one of the most common surgeries in General Surgery practice. Although different surgical procedureshave been used for the treatment of hernias, minimally invasive approaches are increasingly preferred to manage hernia repair. Theaim of this study is to evaluate our 2-year laparoscopic transabdominal preperitoneal (TAPP) hernia repair outcomes.Materials and Methods: The data of patients who were diagnosed with inguinal hernia and who underwent the TAPP procedurebetween the dates of December 2017 and December 2019 were evaluated retrospectively. Results: Ninety-six patients were included in this study. Of these patients, 89 were male and 7 were female. The mean age was 46(range between 22 and 76). Fifty six (58.3%) cases had right inguinal hernia, 22 (22.9%) cases had left inguinal hernia and 18 (18.7%)cases had bilateral inguinal hernia. The mean hospital stay was 1.06 (1-3) days. In the early postoperative period we observed forminor complications such as seroma, hydrocele, epididymitis, and hematoma. Three patients experienced chronic pain. Recurrencewas observed in 3 patients during follow-up. No major complications were seen. Conclusion: Laparoscopic hernia repair is an efficient and attractive method because it offers better cosmetic results, earlier recovery,less pain, shortened hospital stay and early return to daily activities. However, the learning process for performing this procedure ismore difficult than for the open method. Therefore, the learning curve of laparoscopic hernia surgery is longer. It has been reportedthat there is a difference in the rate of recurrence in surgeons trained in the laparoscopic method after specialization. We believe thatthis method can be applied safely by people who have received laparoscopic hernia surgery training.

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1. Kingsnorth AN, Gray MR, Nott DM. Prospective randomized trial comparing the Shouldice technique and plication darn for inguinal hernia. Br J Surg 1992;79:1068-70.
2. Schumpelick V, Treutner KH, Arlt G. Inguinal hernia repair in adults. Lancet 1994; 344:375-9.
3. Read RC. The development of inguinal herniorrhaphy. Surg Clin North Am 1984;64:185-96.
4. Shulman AG, Amid PK, Lichtenstein IL. A survey of non-expert surgeons using the open tension-free mesh patch repair for primary inguinal hernias. Int Surg 1995;80:35-6.
5. Ger R. The management of certain abdominal hernia by intra-abdominal closure of the neck of the sac. Ann R Coll Surg Engl 1982;64:342-4.
6. Wu JJ, Way JA, Eslick GD, et al. Transabdominal PrePeritoneal Versus Open Repair for Primary Unilateral Inguinal Hernia: A Meta-analysis. World J Surg 2018;42:1304-11.
7. Wei FX, Zhang YC, Han W, et al. Transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) for laparoscopic hernia repair: a meta-analysis. Surg Laparosc Endosc Percutan Tech 2015;25:375- 83.
8. Wang WJ, Chen JZ, Fang Q, et al. Comparison of the effects of laparoscopic hernia repair and Lichtenstein tension-free hernia repair. Journal of Laparoendoscopic & Advanced Surgical Techniques Part A 2013;23:301-5.
9. Takayama Y, Kaneoka Y, Maeda A, et al. Laparoscopic transabdominal preperitoneal repair versus open mesh plug repair for bilateral primary inguinal hernia. Ann Gastroenterol Surg 2020;4:156-62.
10. Ramshaw B, Abiad F, Voeller G, et al. Polyester (Parietex) mesh for total extraperitoneal laparoscopic inguinal hernia repair: initial experience in the United States. Surgical Endoscopy 2003;17:498-501.
11. Feliu X, Jaurrieta E, Vinas X, et al. Recurrent inguinal hernia: a ten-year review. J Laparoendosc Adv Surg Tech A 2004;14:362-7.
12. Messenger DE, Aroori S, Vipond MN. Five-year prospective follow-up of 430 laparoscopic totally extraperitoneal inguinal hernia repairs in 275 patients. Ann R Coll Surg Engl 2010; 92:201-5.
13. Wauschkuhn CA, Schwarz J, Boekeler U, et al. Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature. Surg Endosc 2010;24:3026-30.
14. Messaris E, Nicastri G, Dudrick SJ. Total extraperitoneal laparoscopic inguinal hernia repair without mesh fixation: prospective study with 1-year follow-up results. Archives of Surgery 2010;145:334-8.
15. Dulucq JL, Wintringer P, Mahajna A. Laparoscopic totally extraperitoneal inguinal hernia repair: lessons learned from 3,100 hernia repairs over 15 years. Surg Endosc 2009;23:482-6.
16. Reddy VM, Sutton CD, Bloxham L, et al. Laparoscopic repair of direct inguinal hernia: a new technique that reduces the development of postoperative seroma. Hernia 2007;11:393-6.
17. Cavazzola LT, Rosen MJ. Laparoscopic versus open inguinal hernia repair. Surg Clin North Am 2013;93:1269-79.
18. Edwards CC 2nd, Bailey RW. Laparoscopic hernia repair: the learning curve. Surgical laparoscopy, endoscopy & percutaneous techniques 2000;10:149- 53.
19. Gokcal F, Callı I, Almali N, et al. Laparoskopik Total Ekstraperitoneal Fıtık Onarımı: İlk Deneyimlerimiz. Van Tıp Derg 2015;22:256-9.
20. Erdogan A, Turkan A, Kilinc U, et al. Laparoskopik Transabdominal Preperitoneal (TAPP) Yöntem ile Fıtık Onarımı; İlçe Devlet Hastanesi Klinik Sonuçlarımız. Acta Oncol Tur 2018;51:353-6