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Simultaneous TAPP inguinal repair and laparoscopic cholecystectomy: results of a case series

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Abstract

Background

Cholecystectomy and inguinal hernioplasty are the most frequent surgeries in Chile and the world. Laparoscopic inguinal hernioplasty, being a clean surgery, reports mesh infection rates of less than 2% and adding a simultaneous laparoscopic cholecystectomy is controversial due to an increase in the risk of mesh infection. The aim of this paper is to report the results of simultaneous TAPP hernioplasty with laparoscopic cholecystectomy.

Method

Retrospective analysis of the digestive surgery database. We identified cases in which laparoscopic inguinal TAPP repair and simultaneous laparoscopic cholecystectomy were performed. Demographic, clinical information, hernia type and size, data from the surgery and its complications were also retrieved and analyzed.

Results

We identified 21 patients, 86% male and with an average age of 61 years range 46–84. 72% of the hernias were unilateral, predominating indirect 50%, direct 28% and the remaining were femoral and mixed. The average hernia size was 2.2 cm. The meshes used were 56% polypropylene, 37% polyester and 5% PVDF. We report one gallblader perforation. At a median time of 40 months of follow-up (range 4–89 months), one hernia recurrence was found (3.7%), there were no reoperations at the time of the interview and there were no cases of mesh infection. Complications of surgery includes one ipsilateral testicular atrophy 4.8% and 1 ipsilateral inguinal seroma 4.8%.

Conclusions

In this series of cases, adding clean contaminated surgery to the inguinal TAPP hernioplasty was not associated with an increase in the infection of the mesh.

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References

  1. Olsen DO (1991) Laparoscopic cholecystectomy. Am J Surg 161:339–344

    Article  PubMed  CAS  Google Scholar 

  2. NIH (1993) Consensus development panel on gallstones and laparoscopic cholecystectomy. J Am Med Assoc 269(8):1018–1024

    Article  Google Scholar 

  3. Nervi F (2001) Gallbladder cancer in Chile. Revista médica de Chile 129(9):,979–981

    Article  PubMed  CAS  Google Scholar 

  4. Nervi F, Duarte I, Gómez G, Rodríguez G, Del Pino G, Ferreiro O et al (1988) Frequency of gallbladder cáncer in Chile, a hight risk área. Int J Cancer 41:657–660

    Article  PubMed  CAS  Google Scholar 

  5. Mühe E (1986) The first cholecystectomy through the laparoscope. Lagenbecks Archiv für Chirurgie 369:804

    Article  Google Scholar 

  6. Keus F, de Jong J, Gooszen HG, Laarhoven C (2006) Laparoscopic versus open cholecystectomy for patients with symptomatic cholecystolithiasis. Cochrane Database Syst Rev 4:CD006231

    Google Scholar 

  7. Rutkow IM, Robbins AW (1993) Demographic, classificatory and socioeconomic aspects of hernia repair in the United States. Surg Clin N Am 73(3):412–426

    Google Scholar 

  8. kingsnorth A, leBlanc K (2003) Management of abdominal hernias, 3rd edn. Edward Arnold, London, pp 40–47.

    Google Scholar 

  9. Scott NW, Webb K, Go PM, Ross SJ, Gran A (2001) Open mesh versus non-mesh repair of inguinalhernia. Cochrane Database Syst Rev 2:CD002197

    Google Scholar 

  10. Schmidt L, Öberg S, Andresen K, Rosenberg J (2018) Laparoscopic repair is superior to open techniques when treating primary groin hernias in women: a nationwide register-based cohort study. Surg Endosc. https://doi.org/10.1007/s00464-018-6270-5

    Article  Google Scholar 

  11. The HerniaSurge Group Hernia (2018) International guidelines for groin hernia management. Hernia 22(1):1–165. https://doi.org/10.1007/s10029-017-1668-x

    Article  Google Scholar 

  12. McCormack K, Scott N, Go PM, Ross SJ, Grant A (2003) Collaboration the EU Hernia Trialists. Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev 1:CD001785

    Google Scholar 

  13. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR (2003) Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 90(12):1479–1492

    Article  PubMed  CAS  Google Scholar 

  14. Scheuermann U, Niebisch S, Lyros O, Jansen-Winkeln B, Gockel I (2017) Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair—a systematic review and meta-analysis of randomized controlled trials. BMC Surg 17:50. https://doi.org/10.1186/s12893-017-0253-7

    Article  Google Scholar 

  15. Soliani G, De Troia A, Prtinari M, Targa S, Carcoforo P et al (2017) Laparoscopic versus open incisional hernia repair: a retrospective cohort study with costs analysis on 269 patients. Hernia 21:609–618

    Article  PubMed  CAS  Google Scholar 

  16. Krahenbuhl L, Schafer M, Schilling M, Kuzinkovas V, Buchler MW (1998) Simultaneous repair of bilateral groin hernias: open or laparoscopic approach? Surg Laparosc Endosc Percutaneous Tech J 8:313–318

    Article  CAS  Google Scholar 

  17. Ielpo B, Duran H, Diaz E, Fabra I, Caruso R et al (2017) A prospective randomized study comparing laparoscopic transabdominal preperitoneal (TAPP) versus Lichtenstein repair for bilateral inguinal hernias. Am J Surg 216:78–83 (Epub ahead of print)

    Article  PubMed  Google Scholar 

  18. Sarli L, Villa F, Marchesi MD (2001) Hernioplasty and simultaneous laparoscopic cholecystectomy: a prospective randomized study of open tension-free versus laparoscopic inguinal hernia repair. Surgery 129(5):530–536

    Article  PubMed  CAS  Google Scholar 

  19. Lehmann A, Piatkowski J, Nowak M, Jackowoski M, Pawlak M et al (2014) Simultaneous TAPP (transabdominal preperitoneal technique) for inguinal hernia and cholecystectomy—a feasible and safe procedure. Polish J Surg 86(2):73–76

    Google Scholar 

  20. Savita KS, Khedkar I, Bhartia VK (2010) Combined procedures with laparoscopic cholecystectomy. Indian J Surg 72(5):377–380

    Article  PubMed  PubMed Central  Google Scholar 

  21. Tsimoyiannis EC, Paizis JB, Siakas P, Lekkas E (1994) Cholecystectomy and hernioplasty during the same laparoscopic procedure. Surg Laparosc Endosc Percutaneous Tech J 4(5):367–369

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Digestive Surgery, Medicine Faculty, Pontifical Catholic University of Chile, Diagonal paraguay 362, Santiago, Region Metropolitana, Chile

    N. Quezada, F. Crovari, R. Muñoz, N. Jarufe & F. Pimentel

  2. Medicine Faculty, Pontifical Catholic University of Chile, Santiago, Chile

    G. Maturana & E. Pimentel

Authors
  1. N. Quezada
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  2. G. Maturana
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  3. E. Pimentel
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  4. F. Crovari
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  5. R. Muñoz
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  6. N. Jarufe
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  7. F. Pimentel
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Corresponding author

Correspondence to N. Quezada.

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Conflict of interest

NQ declares no conflicts of interest. GM declares no conflicts of interest. EP declares no conflicts of interest. FC declares no conflicts of interest. RM declares no conflicts of interest. NJ declares no conflicts of interest. FP declares no conflicts of interest. Additionally, all authors declare that this manuscript has not been published before and is not currently being considered for publication elsewhere.

Ethical approval

This study was performed according to the ethical standards of the Declaration of Helsinki and ethical politics of the Pontifical Catholic University.

Human and animal rights

No animals were included in this article.

Informed consent

Informed consent was obtained from all participants included in this study prior to all surgical procedures.

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Quezada, N., Maturana, G., Pimentel, E. et al. Simultaneous TAPP inguinal repair and laparoscopic cholecystectomy: results of a case series. Hernia 23, 119–123 (2019). https://doi.org/10.1007/s10029-018-1824-y

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  • DOI: https://doi.org/10.1007/s10029-018-1824-y

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