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Surgical Endoscopy

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01-10-2005 | Original article

Totally extraperitoneal repair for bilateral inguinal hernia: Does mesh configuration matter?

Authors: J. A. Halm, J. Heisterkamp, R. U. Boelhouwer, P. T. den Hoed, W. F. Weidema

Published in: Surgical Endoscopy | Issue 10/2005

Abstract

Background:

The endoscopic preperitoneal approach has numerous advantages for the reconstruction of bilateral inguinal hernias. Repair may be achieved using either one large or two small meshes. The aim of this study was to investigate whether one of the techniques was superior in terms of recurrence and complication rate.

Methods:

Data obtained from 113 patients who underwent surgery between January 1998 and December 2001 was reviewed. For the sake of this study, 86% of all patients were examined for hernia recurrence at an additional outpatient visit.

Results:

The findings showed recurrence rates, of 3.5% for single mesh and 3.7% for double mesh. This difference was not significant. Complication rates did not differ significantly between the groups.

Conclusions:

Endoscopic preperitoneal bilateral hernia repair is a safe and reliable technique in the hands of experienced surgeons. The rate of hernia recurrence and complications is low and independent of the mesh configuration (single or double). Mesh configuration based on personal preference is permissible.

(2003) Richtlijn Behandeling van de liesbreuk. Alphen aan den Rijn, van Zuiden Communications B.V

Baeten CG, van Geldere D, Kootstra G (1990) Current treatment of bilateral recurrent inguinal hernias using preperitoneal Marlex mesh prosthesis. Ned Tijdschr Geneeskd 134: 535––537PubMed

Berndsen F, Petersson U, Montgomery A (2001) Endoscopic repair of bilateral inguinal hernias: short and late outcome. Hernia 5: 192–195CrossRefPubMed

Champault GG, Rizk N, Catheline JM, Turner R, Boutelier P (1997) Inguinal hernia repair: totally preperitoneal laparoscopic approach versus Stoppa operation: randomized trial of 100 cases. Surg Laparosc Endosc 7: 445–450CrossRefPubMed

Frankum CE, Ramshaw BJ, White J, Duncan TD, Wilson RA, Mason EM, Lucas G , Promes J (1999) Laparoscopic repair of bilateral and recurrent hernias. Am Surg 65: 839–843PubMed

Geis WP, Malago M (1994) Laparoscopic bilateral inguinal herniorrhaphies: use of a single giant preperitoneal mesh patch. Am Surg 60: 558–563PubMed

Kald A, Domeij E, Landin S, Wiren M, Anderberg B (2000) Laparoscopic hernia repair in patients with bilateral groin hernias. Eur J Surg 166: 210–212CrossRefPubMed

Knook MT, Weidema WF, Stassen LP, Boelhouwer RU, van Steensel CJ (1999) Endoscopic totally extraperitoneal repair of bilateral inguinal hernias. Br J Surg 86: 1312–1316CrossRefPubMed

Liem MS, van der Graaf Y, van Steensel CJ, Boelhouwer RU, Clevers GJ, Meijer WS, Stassen LP, Vente JP, Weidema WF, Schrijvers AJ, van Vroonhoven TJ (1997) Comparison of conventional anterior surgery and laparoscopic surgery for inguinal-hernia repair. N Engl J Med 336: 1541–1547CrossRefPubMed

10.

Liem MSL, van Steensel CJ, Boelhouwer RU, et al. (1996) The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 171: 281–285CrossRefPubMed

11.

Miller AR, van Heerden JA, Naessens JM, O’Brien PC (1991) Simultaneous bilateral hernia repair: a case against conventional wisdom. Ann Surg 213: 272–276PubMed

12.

Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R, Jr., Dunlop D, Gibbs J, Reda D, Henderson W (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 350: 1819–1827CrossRefPubMed

13.

Nyhus LM (1993) Individualization of hernia repair: a new era. Surgery 114: 1–2PubMed

14.

Serpell JW, Johnson CD, Jarrett PE (1990) A prospective study of bilateral inguinal hernia repair. Ann R Coll Surg Engl 72: 299–303PubMed

15.

Simons MP, de Lange D, Beets GL, van Geldere D, Heij HA, Go PM (2003) The “Inguinal Hernia” guideline of the Association of Surgeons of the Netherlands. Ned Tijdschr Geneeskd 147: 2111–2117PubMed

16.

Stoppa RE (2003) Wrapping the visceral sac into a bilateral mesh prosthesis in groin hernia repair. Hernia 7: 2–12PubMed

17.

Stott MA, Sutton R, Royle GT (1988) Bilateral inguinal hernias: simultaneous or sequential repair? Postgrad Med J 64: 375–378PubMed

18.

Velasco JM, Gelman C, Vallina VL (1996) Preperitoneal bilateral inguinal herniorrhaphy evolution of a technique from conventional to laparoscopic. Surg Endosc 10: 122–127CrossRefPubMed

Title: Totally extraperitoneal repair for bilateral inguinal hernia: Does mesh configuration matter?
Authors: J. A. Halm
J. Heisterkamp
R. U. Boelhouwer
P. T. den Hoed
W. F. Weidema
Publication date: 01-10-2005
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 10/2005
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-004-2268-2

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Totally extraperitoneal repair for bilateral inguinal hernia: Does mesh configuration matter?

Abstract

Background:

Methods:

Results:

Conclusions:

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background:

Methods:

Results:

Conclusions:

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