Top

Hernia

Published in:

01-12-2013 | Original Article

Chronic pain and quality of life (QoL) after transinguinal preperitoneal (TIPP) inguinal hernia repair using a totally extraperitoneal, parietalized, Polysoft^® memory ring patch

A series of 622 hernia repairs in 525 patients

Authors: J.-F. Gillion, J.-M. Chollet

Published in: Hernia | Issue 6/2013

Abstract

Introduction

Little is known about both incidence of chronic pain and quality of life (QoL) after the transinguinal preperitoneal (TIPP) technique using a totally extraperitoneal, parietalized, memory ring patch.

Materials and methods

Among 622 (428 unilateral and 194 bilateral) hernia repairs (HR) in 525 patients, 92 % had a postoperative clinical control. Thereafter, two sets of postal self-assessed questionnaires were sent.

Results

A total of 531 HR were studied with a mean follow-up of 17 ± 8 months. Only one recurrence was detected. In 151 (28.4 %) HR the patients alleged various symptoms, but in only 10 (1.9 %) HR they considered their discomfort more bothersome than the hernia they had before, and in just 2 (0.4 %) HR they judged their result as bad (one patch removal for sepsis and one for hematoma). Only mild pain (including no painful discomfort such as a foreign body sensation) or moderate pain was frequent. Pain was self-graded as severe in four cases. None of them reported any regular consumption of antalgics. None of them judged their result as bad. Dysesthesia (numbness 19, paresthesia 20) mentioned in 39 HR (7 %), associated with pain in 16 HR, was said to be more bothersome than the hernia treated in just 3 HR (0.6 %). The results of the entire series were self-assessed as good or excellent in 97 % of the HR.

Conclusion

In our TIPP series, both the incidence of recurrences (0.2 %) and that of severe chronic pain (≤0.7 %) were very low, as well as patients’ QoL was excellent. In our experience, the postoperative course was as painless as that of laparoscopic TEP we had been performing previously, but TIPP appeared more suited to day-case surgery.

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 13:343–403PubMedCrossRef

Rives J, Stoppa R, Fortesa L, Nicaise H (1968) Dacron patches and their place in surgery of groin hernia. 65 cases collected from a complete series of 274 hernia operations. Ann Chir 22:159–171PubMed

Read RC, Barone GW, Hauer-Jensen M, Yoder G (1993) Properitoneal prosthetic placement through the groin. The anterior (Mahorner-Goss, Rives-Stoppa) approach. Surg Clin North Am 73:545–555PubMed

Muldoon RL, Marchant K, Johnson DD, Yoder GG, Read RC, Hauer-Jensen M (2004) Lichtenstein vs anterior preperitoneal prosthetic mesh placement in open inguinal hernia repair: a prospective randomized trial. Hernia 8:98–103PubMedCrossRef

Schumpelick V, Arlt G (1996) Transinguinale präperitoneale netzplastik (TIPP) beim leistenbruch in lokalanaesthesie. Chirurg 67:419–424PubMed

Alexandre JH, Dupin P, Levard H, Billebaud T (1984) Cure des hernies de l’aine par prothèse non fendue de mersuture. Interêt de la pariétalisation du cordon et de la ligature des vaisseaux épigastriques. Presse Med 13:161–163PubMed

Pélissier EP (2006) Inguinal hernia: preperitoneal placement of a memory-ring patch by anterior approach. Preliminary experience. Hernia 10:248–252PubMedCrossRef

Pélissier EP, Blum D, Ngo P, Monek O (2008) Transinguinal preperitoneal repair with the Polysoft patch: prospective evaluation of recurrence and chronic pain. Hernia 12:51–56PubMedCrossRef

Berrevoet F, Sommeling C, De Gendt S, Breusegem C, de Hemptinne B (2009) The preperitoneal memory-ring patch for inguinal hernia: a prospective multicentric feasibility study. Hernia 13:243–249PubMedCrossRef

10.

Berrevoet F, Maes L, Reyntjens K, Rogiers X, Troisi R, de Hemptinne B (2010) Transinguinal preperitoneal memory ring patch versus Lichtenstein repair for unilateral inguinal hernias. Langenbecks Arch Surg 395:557–562PubMedCrossRef

11.

Scott NW, McCormack K, Graham P, Go PM, Ross SJ, Grant AM, EU Hernia Trialists Collaboration (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 1:CD001785PubMed

12.

Smith CD, Tiao G, Beebe T (1997) Intraoperative events common to videoscopic preperitoneal mesh inguinal herniorrhaphy. Am J Surg 174:403–405PubMedCrossRef

13.

Muzio G, Bernard K, Polliand C, Rizk N, Champault G (2006) Impact of peritoneal tears on the outcome and late results (4 years) of endoscopic totally extra-peritoneal inguinal hernioplasty. Hernia 10:426–429PubMedCrossRef

14.

Eker HH, Langeveld HR, Klitsie PJ, van’t Riet M, Stassen LP, Weidema WF, Steyerberg EW, Lange JF, Bonjer HJ, Jeekel J (2012) Randomized clinical trial of total extraperitoneal inguinal hernioplasty vs Lichtenstein repair: a long-term follow-up study. Arch Surg 147(3):256–260PubMedCrossRef

15.

Maillart JF, Vantournhoudt P, Piret-Gerard G, Farghadani H, Mauel E (2011) Transinguinal preperitoneal groin hernia repair using a preperitoneal mesh preformed with a permanent memory ring: a good alternative to Lichtenstein’s technique. Hernia 15:289–295PubMedCrossRef

16.

Koning GG, Koole D, de Jongh MAC, de Schipper JP, Verhofstad MHJ, Oostvogel HJM, Vriens PWHE (2011) The transinguinal preperitoneal hernia correction vs Lichtenstein’s technique; is TIPP top? Hernia 15:19–22PubMedCrossRef

17.

Amid PK (2004) Lichtenstein tension-free hernioplasty: Its inception, evolution, and principles. Hernia 8:1–7PubMedCrossRef

18.

Stoppa R, Diarra B, Mertl P (1997) The retroparietal spermatic sheath- An anatomical structure of surgical interest. Hernia 1:55–59CrossRef

19.

Diarra B, Stoppa R, Verhaeghe P, Mertl P (1997) About prolongations of the urogenital fascia into the pelvis: an anatomic study and general remarks on the interparietal–peritoneal fasciae. Hernia 1:191–196CrossRef

20.

Loos MJA, Houterman S, Scheltinga MRM, Roumen RMH (2008) Evaluating postherniorrhaphy groin pain: visual analogue or verbal rating scale? Hernia 12:147–151PubMedCrossRef

21.

Gillion JF, Fagniez PL (1999) Chronic pain and cutaneous sensory changes after inguinal hernia repair: comparison between open and laparoscopic techniques. Hernia 3:75–80CrossRef

22.

Alfieri S, Amid PK, Campanelli G, Izard G, Kehlet H, Wijsmuller AR, Di Miceli D, Doglietto GB (2011) International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia 15(3):239–249PubMedCrossRef

23.

Fränneby U, Gunnarsson U, Wollert S, Sandblom G (2005) Discordance between the patient’s and surgeon’s perception of complications following hernia surgery. Hernia 9:145–149PubMedCrossRef

24.

Courtney CA, Duffy K, Serpell MG, O’Dwyer PJ (2002) Outcome of patients with severe chronic pain following repair of groin hernia. Br J Surg 89:1310–1314PubMedCrossRef

25.

Bay-Nielsen M, Perkins FM, Kehlet H, For the Danish Hernia Database (2001) Pain and functional impairment 1 year after inguinal herniorrhaphy: a nationwide questionnaire study. Ann Surg 233(1):1–7PubMedCrossRef

26.

Massaron S, Bona S, Fumagalli U, Valente P, Rosati R (2008) Long-term sequelae after 1,311 primary inguinal hernia repairs. Hernia 12:57–63PubMedCrossRef

27.

Bitzer EM, Lorenz C, Nickel S, Dörning H, Trojan A (2008) Patient-reported outcomes in hernia repair. Hernia 12:407–414PubMedCrossRef

28.

Lopez-Cano M, Villalonga R, Sanchez JL, Hermosilla E, Armengol M (2007) Short postal questionnaire and selective clinical examination combined with repeat mailing and telephone reminders as a method of follow-up in hernia surgery. Hernia 11:397–402PubMedCrossRef

29.

Staal E, Nienhuijs SW, Keemers-Gels ME, Rosman C, Strobbe LJA (2008) The impact of pain on daily activities following open mesh inguinal hernia repair. Hernia 12:153–157PubMedCrossRef

30.

Poobalan AS, Bruce J, King PM, Chambers WA, Krukowski ZH, Smith WCS (2001) Chronic pain and quality of life following open inguinal hernia repair. Br J Surg 88:1122–1126PubMedCrossRef

31.

Hanswijck Van, de Jonge P, Lloyd A, Horsfall L, Tan R, O’Dwyer PJ (2008) The measurement of chronic pain and health-related quality of life following inguinal hernia repair: a review of the literature. Hernia 12:561–569CrossRef

32.

Patel M, Garcea G, Fairhurst K, Dennison AR (2012) Patient perception of laparoscopic versus open mesh repair of inguinal hernia, the hard sell. Hernia 16:411–415PubMedCrossRef

33.

Smietanski M, Bigda J, Zaborowski K, Worek M, Sledzinski Z (2009) Three years follow-up of modified Lichtenstein inguinal hernioplasty using lightweight poliglecaprone/polypropylene mesh. Hernia 13:239–242PubMedCrossRef

34.

Smeds S, Kald A, Löfström L (2010) Chronic pain after open inguinal hernia repair: a longitudinal self-assessment study. Hernia 14:249–252PubMedCrossRef

35.

Aaswang EK, Bay-Nielsen M, Kehlet H (2006) Pain and functional impairment 6 years after inguinal herniorrhaphy. Hernia 10:316–321CrossRef

36.

Grant AM, Scott NW, O’Dwyer PJ, MRC Laparoscopic Groin Hernia Group (2004) Five-year follow-up of a randomized trial to assess pain and numbness after laparoscopic or open repair of groin hernia. Br J Surg 91:1570–1574PubMedCrossRef

37.

Kumar S, Wilson RG, Nixon SJ, Macintyre MC (2002) Chronic pain after laparoscopic and open mesh repair of groin hernia. Br J Surg 89:1476–1479PubMedCrossRef

38.

Kumar S, Joshi M, Chaudhary S (2009) ‘Dissectalgia’ following TEP, a new entity: its recognition and treatment. Results of a prospective randomized controlled trial. Hernia 13:591–596PubMedCrossRef

39.

Lau H, Patil NG, Yuen WK (2006) Day-case endoscopic totally extraperitoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males: a randomized trail. Surg Endosc 20(1):76–81PubMedCrossRef

40.

Voyles CR, Hamilton BJ, Johnson WD, Kano N (2002) Meta-analysis of laparoscopic inguinal hernia trials favors open hernia repair with preperitoneal mesh prosthesis. Am J Surg 184:6–10PubMedCrossRef

41.

Pélissier EP, Ngo P, Gayet B (2011) Transinguinal preperitoneal patch (TIPP) under local anesthesia with sedation. Am Surg 77(12):1681–1684PubMed

42.

Kehlet H, Bay-Nielsen M (2008) Local anaesthesia as a risk factor for recurrence after groin hernia repair. Hernia 12:507–509PubMedCrossRef

43.

Bay-Nielsen M, Nordin P, Nilsson E, Kehlet H, For the Danish Hernia Data Base and the Swedish Hernia Data Base (2001) Operative findings in recurrent hernia after a Lichtenstein procedure. Am J Surg 182:134–136PubMedCrossRef

44.

Klinge U, Junge K, Stumpf M (2003) Causes of recurrences after Lichtenstein tension free hernioplasty. Hernia 7:100–101PubMedCrossRef

45.

Read RC, Gilbert AI (2004) Interstitial recurrence, with chronic inguinodynia, after Lichtenstein herniorrhaphy. Hernia 8:264–267PubMed

46.

Amid PK (2005) Re ‘Interstitial recurrence, with chronic inguinodynia, after Lichtenstein herniorrhaphy’. Hernia 9:201PubMedCrossRef

47.

Taylor SG, Hair A, Baxter GM, O’Dwyer PJ (2001) Does contraction of mesh following tension free hernioplasty effect testicular or femoral vessel blood flow? Hernia 5:13–15PubMedCrossRef

48.

Willaert W, De Bacquer D, Rogiers X, Troisi R, Berrevoet F (2012) Open preperitoneal techniques versus Lichtenstein repair for elective inguinal hernias. Cochrane Database Syst Rev 11(7):CD008034

49.

Koning GG, de Vries J, Borm GF, Koeslag L, Vriens et PWHE, van Laarhoven CJHM (2012) Health status one year after transinguinal pre-peritoneal inguinal hernia repair and Lichtenstein’s method: an analysis alongside a randomized clinical study Hernia doi: 10.1007/s10029-012-0963-9

50.

Koning GG, Keus F, Koeslag L, Cheung CL, Avçi M, Van Laarhoven CJMH, Vriens PWHE (2012) Randomized clinical trial of chronic pain after the transinguinal preperitoneal technique compared with Lichtenstein’s method for inguinal hernia repair. Br J Surg 99:1365–1373PubMedCrossRef

51.

Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, Reda D, Henderson W, Veterans Affairs Cooperative Studies Program 456 Investigators (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 350(18):1819–1827PubMedCrossRef

52.

Pélissier EP (2009) Preperitoneal memory-ring patch for inguinal hernia. Hernia 13:451–452 letterPubMedCrossRef

53.

Soares da Costa R, Lourenco A (2012) ON STEP—Keep it simple and reliable. Hernia 16(Suppl 1):S143–S240 P-1734

Title: Chronic pain and quality of life (QoL) after transinguinal preperitoneal (TIPP) inguinal hernia repair using a totally extraperitoneal, parietalized, Polysoft ® memory ring patch
A series of 622 hernia repairs in 525 patients
Authors: J.-F. Gillion
J.-M. Chollet
Publication date: 01-12-2013
Publisher: Springer Paris
Published in: Hernia / Issue 6/2013
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-013-1121-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Chronic pain and quality of life (QoL) after transinguinal preperitoneal (TIPP) inguinal hernia repair using a totally extraperitoneal, parietalized, Polysoft^® memory ring patch

A series of 622 hernia repairs in 525 patients

Abstract

Introduction

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Materials and methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 6/2013

Selective use of bioabsorbable Gore BIO-A plug and patch for groin hernia repair

Quality of life change in elderly patients undergoing open inguinal hernia repair

Mesh fixation with fibrin sealant during endoscopic totally extraperitoneal inguinal hernia approach: a review of 640 repairs

Comparing laparoscopic and open inguinal hernia repair in octogenarians

Comparative study of shrinkage, inflammatory response and fibroplasia in heavyweight and lightweight meshes

Open inguinal hernia repair with the use of polyglycolic acid/trimethylene carbonate mesh: gross and pathologic assessment of the inguinal area at reoperation for recurrence