Top

Hernia

Published in:

01-04-2022 | Seroma | Original Article

Feasibility of modified-TEP technique for large inguinoscrotal and large femoral hernia and its advantages

Authors: S. Wijerathne, L. Wai, J. Lee, C. Loh, S. Malik, D. Lomanto

Published in: Hernia | Issue 2/2022

Abstract

Purpose

To describe the feasibility of modified-TEP technique in reducing dead space in large inguinoscrotal and large femoral hernia to prevent seroma, reduce recurrence and complications.

Methods

This is a case series of patients who have completed a minimum of 9 months follow-up after undergoing elective endo-laparoscopic inguinal hernia repair with modified-TEP technique for large inguinoscrotal and large femoral hernia in a single institution from June to October 2020.

Results

14 large inguinoscrotal hernia and 4 large femoral hernia were repaired using the modified-TEP technique in 15 patients. These patients reported minimal pain after surgery. There were no reported seroma, complications or recurrences up to 9 months follow-up period.

Conclusion

Modified-TEP technique for large inguinoscrotal and large femoral hernia has shown good outcomes and patients reported minimum levels of pain. In experienced hands, it is safe, feasible and effective in reducing seroma formation and hernia recurrence.

Dulucq JL (1992) Treatment of inguinal hernia by insertion of a subperitoneal patch under pre-peritoneoscopy. Chirurgie 118(1–2):83–85PubMed

Sherwinter DA (2010) Transitioning to single-incision laparoscopic inguinal herniorrhaphy. JSLS 14(3):353–357. https://doi.org/10.4293/108680810X12924466007485CrossRefPubMedPubMedCentral

Cugura JF, Kirac I, Kulis T, Sremac M, Ledinsky M, Beslin MB (2012) Comparison of single incision laparoscopic totally extraperitoneal and laparoscopic totally extraperitoneal inguinal hernia repair: initial experience. J Endourol 26(1):63–66. https://doi.org/10.1089/end.2011.0352 (5)CrossRefPubMed

Kim JH, Lee YS, Kim JJ, Park SM (2013) Single port laparoscopic totally extraperitoneal hernioplasty: a comparative study of short-term outcome with conventional laparoscopic totally extraperitoneal hernioplasty. World J Surg 37(4):746–751. https://doi.org/10.1007/s00268-013-1925-9CrossRefPubMed

Dedemadi G, Sgourakis G, Radtke A, Dounavis A, Gockel I, Fouzas I, Karaliotas C, Anagnostou E (2010) Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes. Am J Surg 200(2):291–297. https://doi.org/10.1016/j.amjsurg.2009.12.009CrossRefPubMed

Siddaiah-Subramanya M, Ashraf D, Memon B, Memon MA (2018) Causes of recurrence in laparoscopic inguinal hernia repair. Hernia 22(6):975–986. https://doi.org/10.1007/s10029-018-1817-xCrossRefPubMed

Usmani F, Wijerathne S, Malik S, Yeo C, Rao J, Lomanto D (2020) Effect of direct defect closure during laparoscopic inguinal hernia repair (“TEP/TAPP plus” technique) on post-operative outcomes. Hernia 24(1):167–171. https://doi.org/10.1007/s10029-019-02036-1CrossRefPubMed

Li J, Bao P, Shao X, Cheng T (2021) The management of indirect inguinal hernia sac in laparoscopic inguinal hernia repair: a systemic review of literature. Surg Laparosc Endosc Percutan Tech. https://doi.org/10.1097/sle.0000000000000944CrossRefPubMedPubMedCentral

Daes J (2014) Endoscopic repair of large inguinoscrotal hernias: management of the distal sac to avoid seroma formation. Hernia 18:119–122. https://doi.org/10.1007/s10029-012-1030-2CrossRefPubMed

10.

Li J, Ji Z, Shao X (2018) Prevention of seroma formation after laparoscopic inguinoscrotal indirect hernia repair by a new surgical technique: a preliminary report. Int J Abdom Wall Hernia Surg 1:55–59CrossRef

11.

Williamson A, Hoggart B (2005) Pain: a review of three commonly used pain rating scales. J Clin Nurs 14(7):798–804. https://doi.org/10.1111/j.1365-2702.2005.01121.xCrossRefPubMed

12.

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

13.

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):188–199. https://doi.org/10.1007/s00464-004-9126-0CrossRefPubMed

14.

Li J, Zhang W (2018) Closure of a direct inguinal hernia defect in laparoscopic repair with barbed suture: a simple method to prevent seroma formation? Surg Endosc 32(2):1082–1086. https://doi.org/10.1007/s00464-017-5760-1CrossRefPubMed

15.

Lau H, Lee F (2003) Seroma following endoscopic extraperitoneal inguinal hernioplasty. Surg Endosc 17(11):1773–1777. https://doi.org/10.1007/s00464-002-8771-4CrossRefPubMed

16.

Furtschegger A, Sandbichler P, Judmaier W, Gstir H, Steiner E, Egender G (1995) Sonography in the postoperative evaluation of laparoscopic inguinal hernia repair. J Ultrasound Med 14(9):679–684. https://doi.org/10.7863/jum.1995.14.9.679CrossRefPubMed

17.

Boldo E (2008) Pain after laparascopic bilateral hernioplasty. Surg Endosc 22(5):1206–1209. https://doi.org/10.1007/s00464-007-9587-zCrossRefPubMed

18.

Sürgit Ö, Çavuşoğlu NT, Kılıç MÖ, Ünal Y, Koşar PN, İçen D (2016) Use of fibrin glue in preventing pseudorecurrence after laparoscopic total extraperitoneal repair of large indirect inguinal hernia. Ann Surg Treat Res 91(3):127CrossRef

19.

Ismail M, Garg M, Rajagopal M, Garg P (2009) Impact of closed-suction drain in preperitoneal space on the incidence of seroma formation after laparoscopic total extraperitoneal inguinal hernia repair. Surg Laparosc Endosc Percutan Tech 19(3):263–266. https://doi.org/10.1097/SLE.0b013e3181a4d0e1CrossRefPubMed

20.

Agrawal A, Avill R (2006) Mesh migration following repair of inguinal hernia: a case report and review of literature. Hernia 10:79–82. https://doi.org/10.1007/s10029-005-0024-8CrossRefPubMed

21.

Reinpold W, Chen D (2018) Chronic postoperative inguinal pain (CPIP). In: Bittner R, Köckerling F, Fitzgibbons R Jr, LeBlanc K, Mittal S, Chowbey P (eds) Laparo-endoscopic hernia surgery. Springer, Berlin

22.

Reinpold W, Schroeder AD, Schroeder M, Berger C, Rohr M, Wehrenberg U (2015) Retroperitoneal anatomy of the iliohypogastric, ilioinguinal, genitofemoral, and lateral femoral cutaneous nerve: consequences for prevention and treatment of chronic inguinodynia. Hernia 19:539–548CrossRef

23.

Lau H, Patil NG, Yuen WK, Lee F (2003) Prevalence and severity of chronic groin pain after endoscopic totally extraperitoneal inguinal hernioplasty. Surg Endosc 17(10):1620–1623. https://doi.org/10.1007/s00464-002-8798-6CrossRefPubMed

24.

Eklund A, Montgomery A, Bergkvist L, Rudberg C (2010) Chronic pain 5 years after randomized comparison of laparoscopic and Lichtenstein inguinal hernia repair. Brit J Surg 97(4):600–608. https://doi.org/10.1002/bjs.6904CrossRefPubMed

Title: Feasibility of modified-TEP technique for large inguinoscrotal and large femoral hernia and its advantages
Authors: S. Wijerathne
L. Wai
J. Lee
C. Loh
S. Malik
D. Lomanto
Publication date: 01-04-2022
Publisher: Springer Paris
Keywords: Seroma
Femoral Hernia
Inguinal Hernia
Published in: Hernia / Issue 2/2022
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-021-02505-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Feasibility of modified-TEP technique for large inguinoscrotal and large femoral hernia and its advantages

Abstract

Purpose

Methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 2/2022

Could full thickness skin grafts in an onlay position be the new gold standard for incisional hernia repair?

A pragmatic, evidence-based approach to coding for abdominal wall reconstruction

Farewell Volker Schumpelick

When to use a prophylactic mesh after stoma closure: author's reply

An evidence map and synthesis review with meta-analysis on the risk of incisional hernia in colorectal surgery with standard closure

Long-term follow-up of full-thickness skin grafting in giant incisional hernia repair: a randomised controlled trial