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ISSN 1665-2576 (Print)

2011, Number 3

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Rev Mex Cir Endoscop 2011; 12 (3)

Lessons learned from a 20-year experience in laparoscopic transabdominal preperitoneal (TAPP) hernioplasty

Weber SA, Garteiz MD

Language: Spanish
References: 20
Page: 123-129
PDF size: 62.91 Kb.


ABSTRACT

Introduction: Even though Ger reported the first laparoscopic inguinal hernioplasty, it was not until the decade of 1990 when the new technology of minimally invasive surgery (MIS) was adopted, and new techniques were developed. The two techniques which keep on being performed with the same effectiveness are the trans-abdominal pre-peritoneal (TAPP) technique and the totally extra-peritoneal (TEP) technique. From both techniques, our group has practically adopted the first technique for all the cases since 1991, as it is the ideal procedure for most of the patients. Since then, we have practiced it with modifications, according to our experience learned along these two last decades. Objectives: To expose some of the most relevant points in the learning of the technique of type TAPP laparoscopic hernioplasty and from the changes that we have adopted along this time. Methods: Description and discussion of the evolution that the technique of laparoscopic trans-abdominal pre-peritoneal hernioplasty has presented according to the experience of our surgical group. Conclusions: The TAPP procedure, which we have been performing since almost twenty years ago, has experienced certain modifications regarding subtle technical details, which are the result of life experiences and technological improvements. Nowadays, we may assert that the aforementioned technique is appropriate for most of the cases requiring inguinal hernioplasty, a technique that surely will continue to be improved along time.


REFERENCES

  1. Ger R. The management of certain intra–abdominal hernias by intra-abdominal closure of the sac. Ann R Coll Surg Engl 1982; 64: 342-44.

  2. Weber A, Valencia S, Garteiz D, Burges A. Epidemiology of hernias in the female abdominal wall hernias principles and management. Robert Bendavid. Chapter 88 Springer 2000.

  3. Weber A, Garteiz D, Valencia S. Epidemiology of inguinal hernia: a useful aid for adequate surgical decisions abdominal wall hernias principles and management. Robert Bendavid. Chapter 12. Springer 2000.

  4. Weber SA, Argüelles LP, Garteiz MD, Vega RF, Carbó RR. Experiencia de 10 años con malla de polipropileno en la reparación laparoscópica de la hernia inguinal en el Hospital Ángeles Lomas. Rev Mex Cir Endoscop 2010; 3: 136-141.

  5. Read RC. Attenuation of the rectus sheath on inguinal herniation. Am J Surg 1970; 120: 160.

  6. Nyhus LM, Condon RE, Harkins HN. Clinical experience with preperitoneal hernia repair for all types of hernia of the groin. Am J Surg 1960; 100: 234-44.

  7. Stoppa RE, Rives JL, Warlaumont CR, Palot JP, Verhaeghe PJ, Delattre JF. The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 1984; 64: 269-85.

  8. Weber A, Garteiz D, Cueto J. Stoppa type laparoscopic repair of complex groin defects. Surgical Laparoscopy and Endoscopy 1999:14-6.

  9. Teng YJ, Pan SM, Liu YL, Yang KH, Zhang YC, Tian JH, Han JX. A meta-analysis of randomized controlled trials of fixation versus nonfixation of mesh in laparoscopic total extraperitoneal inguinal hernia repair. Surg Endosc 2011; 25: 2849-58.

  10. Kukleta JF, Freytag C, Weber M. Efficiency and safety of mesh fixation in laparoscopic inguinal hernia repair using n-butyl cyanoacrylate: long-term biocompatibility in over 1,300 mesh fixations. Hernia 2011; DOI: 10.1007/s10029-011-0887-9.

  11. Weber-Sánchez A, García-Barrionuevo A, Vázquez-Frías JA, Cueto-Garcia J. Laparoscopic management of spermatic cord entrapment after laparoscopic inguinal herniorrhaphy. Surg Laparosc Endosc Percutan Tech 1999; 9: 296-9.

  12. Filipi CF, Fitzgibbons RJ, Salermo GM, Hart RO. Herniorrafia laparoscópica. Clin Quir NA 1992; 5: 1079-93.

  13. Deans GT, Wilson MS, Royston CM, Brough WA. Recurrent inguinal hernia after laparoscopic repair: possible cause and prevention. Br J Surg 1995; 82: 539-41.

  14. Sevonius D, Gunnarsson U, Nordin P, Nilsson E, Sandblom G. Recurrent groin hernia surgery. Br J Surg 2011; 98: 1489-94.

  15. Weber A, Garteiz D. Hernia bilateral y laparoscopia. Un enfoque diferente. Rev AMCE 2009; 10: 9295.

  16. Weber SA, Ávila MJ, Valencia SS, Vázquez FJA, Cueto GJ. La utilidad de la cicatriz umbilical en la cirugía laparoscópica. Ginecol Obstet Méx 1998; 66: 503-506.

  17. Weber-Sanchez A, Weber-Álvarez P, Garteiz-Martinez D. Recurrent inguinal hernia in a preschool girl treated laparoscopically with a preperitoneal transabdominal technique and polypropylene mesh: an alternative in complex cases. Hernia 2010.

  18. Esposito C, Alicchio F, Giurin I, Castellano M, Settimi A. Technical standardization of laparoscopic direct hernia repair in pediatric patients. J Laparoendosc Adv Surg Tech A 2012; 22: 113-116. Epub 2011 Nov 1.

  19. INCA Trialits Collaboration. Operation compared with watchful waiting in elderly male inguinal hernia patients: a review and data analysis. J Am Coll Surg 2011; 212: 251-259.e1-4. Epub 2010 Dec 22.

  20. Khajanchee YS, Kenyon TA, Hansen PD, Swanström LL. Economic evaluation of laparoscopic and open inguinal herniorrhaphies: the effect of cost-containment measures and internal hospital policy decisions on costs and charges. Hernia 2004; 8: 196-202.




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