Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 5/2009

01-05-2009

Laparoscopic transperitoneal inguinal hernia repair (TAPP) after radical prostatectomy: is it safe? Results of prospectively collected data of more than 200 cases

Authors: Constantin Aurel Wauschkuhn, Jochen Schwarz, Reinhard Bittner

Published in: Surgical Endoscopy | Issue 5/2009

Login to get access

Abstract

Background

Feasibility of laparoscopic transperitoneal inguinal hernia repair (TAPP) in primary hernias has been well established, but can the TAPP also be recommended after radical prostatectomy?

Methods

Our prospectively collected patient database was reviewed from March 1996 until December 2006 in order to compare operative data and postoperative outcomes in 264 TAPPs after prostatectomy with 10,962 TAPPs because of primary hernias. Patients operated after prostatectomy were divided into two subgroups (year of surgery March 1996–July 2002 and August 2002–December 2006, with 132 TAPPs per group) to check for a possible learning curve.

Results

In the group operated after prostatectomy patients were older (70 vs. 59 years), duration of operation was longer (59 vs. 40 min) and morbidity was higher (5.7 vs. 2.8%), but recurrence rate was similar (0.8 vs. 0.7%) as was body mass index (BMI) (25 kg/m2). Subgroup analysis showed a clear learning curve with a decrease of morbidity (9.8–1.5%) and recurrence rate (1.5–0%) but similar results in operation time (60 and 58 min).

Conclusions

Even if TAPP after radical prostatectomy is a difficult operation it can be performed efficiently and safely. However, for a definite decision regarding recurrence rate long-term results have to be waited for.
Literature
1.
Fitzgibbons RJ Jr, Camps J, Cornet DA, Nguyen NX, Litke BS, Annibali R, Salerno GM (1995) Laparoscopic inguinal herniorrhaphy. Results of a multicenter trial. Ann Surg 221(1):3–13PubMedCrossRef
2.
Rutkow IM (1998) Epidemiologic, economic, and sociologic aspects of hernia surgery in the United States in the 1990s. Surg Clin North Am 78(6):941–951 v–viPubMedCrossRef
3.
4.
Camps J, Nguyen N, Annabali R, Fitzgibbons RJ Jr (1995) Laparoscopic inguinal herniorrhaphy: transabdominal techniques. Int Surg 80(1):18–25PubMed
5.
Sosa JL, Puente I, Markley M, Tranakas N (1994) A modified technique of laparoscopic herniorrhaphy: operative approach and early results. Int Surg 79(4):300–303PubMed
6.
Wishart GC, Wright D, O’Dwyer PJ (1995) Use of a Foley catheter to dissect the preperitoneal space for extraperitoneal endoscopic hernia repair. J Laparoendosc Surg 5(1):27–29PubMed
7.
Dulucq JL (1992) Treatment of inguinal hernia by insertion of a subperitoneal patch under pre-peritoneoscopy. Chirurgie 118(1–2):83–85PubMed
8.
Arregui ME, Davis CJ, Yucel O, Nagan RF (1992) Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report. Surg Laparosc Endosc 2(1):53–58PubMed
9.
McKernan JB, Laws HL (1993) Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc 7(1):26–28PubMedCrossRef
10.
Leibl BJ, Jager C, Kraft B, Kraft K, Schwarz J, Ulrich M, Bittner R (2005) Laparoscopic hernia repair—TAPP or/and TEP? Langenbecks Arch Surg/Deutsche Gesellschaft Chirurgie 390(2):77–82
11.
Krahenbuhl L, Schafer M, Buchler MW (1997) Laparoscopic transperitoneal inguinal hernia operation (TAPP). Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen 68(10):977–985PubMed
12.
Stolzenburg JU, Anderson C, Rabenalt R, Do M, Ho K, Truss MC (2005) Endoscopic extraperitoneal radical prostatectomy in patients with prostate cancer and previous laparoscopic inguinal mesh placement for hernia repair. World J Urol 23(4):295–299PubMedCrossRef
13.
Teber D, Erdogru T, Zukosky D, Frede T, Rassweiler J (2005) Prosthetic mesh hernioplasty during laparoscopic radical prostatectomy. Urology 65(6):1173–1178PubMedCrossRef
14.
Bittner R, Schwarz J, Kolb H (2006) Hernioplastie de l’aine: cure coelioscopique TAPP. Le Journal de Coelio-Chirurgie - Eur J Coelio-Surg 59:5–10
15.
Bittner R, Schmedt CG, Leibl BJ (2003) Transabdominal pre-peritoneal approach. In: Le Blanc K (ed) Laparoscopic hernia surgery. An operative guide. Arnold, London, pp 53–64
16.
Bittner R, Leibl BJ, Ulrich M (2006) Chirurgie der Leistenhernie. Minimalinvasive Operationstechniken. Karger
17.
Sugarbaker PH, Sanders JH, Bloom BS, Wilson RE (1975) Preoperative laparoscopy in diagnosis of acute abdominal pain. Lancet 1(7904):442–445PubMedCrossRef
18.
Pannen F, Frangenheim H (1975) “Surgical” laparoscopy indications and value. Chirurg 46(9):405–410PubMed
19.
Filipi CJ, Fitzgibbons RJ Jr, Salerno GM, Hart RO (1992) Laparoscopic herniorrhaphy. Surg Clin North Am 72(5):1109–1124PubMed
20.
Neugebauer E, Troidl H, Kum CK, Eypasch E, Miserez M, Paul A (1995) The EAES Consensus Development Conferences on laparoscopic cholecystectomy, appendectomy, and hernia repair. Consensus statements—September 1994. The Educational Committee of the European Association for Endoscopic Surgery. Surg Endosc 9(5):550–563PubMed
21.
Schmedt CG, Sauerland S, Bittner R (2005) Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc 19(2):188–199PubMedCrossRef
22.
Collaboration EH (2000) Mesh compared with non-mesh methods of open groin hernia repair: systematic review of randomized controlled trials. Br J Surg 87(7):854–859PubMedCrossRef
23.
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(18):1819–1827PubMedCrossRef
24.
Kuhry E, van Veen RN, Langeveld HR, Steyerberg EW, Jeekel J, Bonjer HJ (2007) Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc 21(2):161–166PubMedCrossRef
25.
Stylopoulos N, Gazelle GS, Rattner DW (2003) A cost–utility analysis of treatment options for inguinal hernia in 1, 513, 008 adult patients. Surg Endosc 17(2):180–189PubMedCrossRef
26.
Gholghesaei M, Langeveld HR, Veldkamp R, Bonjer HJ (2005) Costs and quality of life after endoscopic repair of inguinal hernia vs open tension-free repair: a review. Surg Endosc 19(6):816–821PubMedCrossRef
27.
Winslow ER, Quasebarth M, Brunt LM (2004) Perioperative outcomes and complications of open vs laparoscopic extraperitoneal inguinal hernia repair in a mature surgical practice. Surg Endosc 18(2):221–227PubMedCrossRef
28.
Dulucq JL, Wintringer P, Mahajna A (2006) Totally extraperitoneal (TEP) hernia repair after radical prostatectomy or previous lower abdominal surgery: is it safe? A prospective study. Surg Endosc 20(3):473–476PubMedCrossRef
29.
Bittner R, Schmedt CG, Schwarz J, Kraft K, Leibl BJ (2002) Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg 89(8):1062–1066PubMedCrossRef
30.
Leibl BJ, Daubler P, Schmedt CG, Kraft K, Bittner R (2000) Long-term results of a randomized clinical trial between laparoscopic hernioplasty and shouldice repair. Br J Surg 87(6):780–783PubMedCrossRef
31.
Leibl BJ, Schmedt CG, Ulrich M, Kraft K, Bittner R (2000) (2000) Laparoscopic hernia therapy (TAPP) as a teaching operation. Chirurg 71(8):939–942 discussion 943PubMedCrossRef
Metadata
Title
Laparoscopic transperitoneal inguinal hernia repair (TAPP) after radical prostatectomy: is it safe? Results of prospectively collected data of more than 200 cases
Authors
Constantin Aurel Wauschkuhn
Jochen Schwarz
Reinhard Bittner
Publication date
01-05-2009
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 5/2009
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-008-0291-4

Other articles of this Issue 5/2009

Surgical Endoscopy 5/2009 Go to the issue

OriginalPaper

Tumor ablation therapy of liver cancers with an open magnetic resonance imaging-based navigation system

Editorial

Natural orifices transluminal endoscopic surgery (NOTES) and other allied “ultra” minimally invasive procedures: are we loosing the plot?

OriginalPaper

Neuromonitoring and video-assisted thyroidectomy: a prospective, randomized case-control evaluation

OriginalPaper

Accuracy of endoanal ultrasound in the follow-up assessment for squamous cell carcinoma of the anal canal treated with radiochemotherapy

Letter

Which term is better: SILS, SPA, LESS, E-NOTES, or TUES?

Technique

Endoscopy-assisted gastric resection: a safe and reliable procedure for tumor clearance during laparoscopic high distal or proximal gastrectomy