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Surgery Today
Published in: Surgery Today 11/2015

Open Access 01-11-2015 | Original Article

A 10-year experience of totally extraperitoneal endoscopic repair for adult inguinal hernia

Authors: Hiroki Toma, Toru Eguchi, Shuichi Toyoda, Yasuhiro Okabe, Tomonari Kobarai, Gen Naritomi, Takahiro Ogawa, Ichio Hirota

Published in: Surgery Today | Issue 11/2015

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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.
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Metadata
Title
A 10-year experience of totally extraperitoneal endoscopic repair for adult inguinal hernia
Authors
Hiroki Toma
Toru Eguchi
Shuichi Toyoda
Yasuhiro Okabe
Tomonari Kobarai
Gen Naritomi
Takahiro Ogawa
Ichio Hirota
Publication date
01-11-2015
Publisher
Springer Japan
Published in
Surgery Today / Issue 11/2015
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-014-1101-3

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