Entrar/Registro  
HOME SPANISH
 
Cirujano General
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirujano General >Year 2005, Issue 4


López CJA, Guzmán CF, Jaramillo TEJ, Covarrubias HMA
Inguinal repair with laparoscopic approach TAPP vs TEP
Cir Gen 2005; 27 (4)

Language: Español
References: 15
Page: 263-268
PDF: 4. Kb.


Full text




ABSTRACT

Objective:To show the experience gained in laparoscopic surgery for the treatment of inguinal hernia, as well as the advantages and disadvantages of the TAPP and TEP techniques, comparing the initial period or learning curve stage with the consolidation stage in performing the technique.
Setting:Minimally Invasive Training Center, Regional Hospital No. 1, IMSS, Tijuana, B.C.
Design:Retrospective, transversal, descriptive, comparative study.
Patients and methods:Patients subjected to inguinal hernia repair with laparoscopic approach, divided in two groups: Group A corresponds to the initial period or learning stage and group B to the consolidation stage. Analyzed variables were: age, gender, affected side, primary or recurrent hernia, type of hernia, morbidity (seroma, infection at the site of surgery), nervous injury, vascular injury, re-intervention or conversion to open technique, recurrence, and mortality. We compared morbidity and recurrence between both groups and between TAPP and TEP.
Results:In group A, 1,000 patients were operated, 58% using TAPP and 42% with TEP, morbidity was of 8.5%, and recurrence of 1.5%. In group B, 184 patients were operated, 55.4% with TAPP and 44.5% with TEP, morbidity was of 3.7%, and recurrence of 0% until now. General morbidity χ2 = 7.38 (p ‹ 0.01) No differences existed between TAPP and TEP (p › 0.05).
Conclusions:The surgeon’s experience does decrease the general morbidity in the laparoscopic approach for the treatment of inguinal hernia; there are no differences in either morbidity or recurrence between the TAPP and TEP approaching techniques.


Key words: Inguinal hernia, hernioplasty, TAPP, TEP, complications.


REFERENCIAS

  1. Ferzli GS, Massad A, Albert P. Extraperitoneal endoscopic inguinal hernia repair. J Laparoendosc Surg 1992; 2: 281-6.

  2. McKernan JB, Laws HL. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc 1993; 7: 26-8.

  3. Corbitt JD Jr. Transabdominal preperitoneal herniorrhaphy. Surg Laparosc Endosc 1993; 3: 328-32.

  4. 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.

  5. Memon MA, Cooper NJ, Memon B, Memon MI, Abrams KR. Meta-analysis of randomized clinical trials comparing open and laparoscopic inguinal hernia repair. Br J Surg 2003; 90: 1479-92.

  6. Davis CJ, Arregui ME. Laparoscopic repair for groin hernias. Surg Clin North Am 2003; 83: 1141-61.

  7. Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, et al. Open mesh versus laparoscopic mesh repair of Inguinal hernia. N Engl J Med 2004; 350: 1819-27.

  8. O´Dwyer PJ. Current status of the debate on laparoscopic hernia repair. Br Med Bull 2004; 70: 105-18.

  9. Smith AI, Royston CM, Sedman PC. Stapled and nonstapled laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair. A prospective randomized trial. Surg Endosc 1999; 13: 804-6.

  10. Grant AM. EU Hernia Trialists Collaboration. Laparoscopic versus open groin hernia repair: meta-analysis of randomized trials based on individual patient data. Hernia 2002; 6: 2-10.

  11. Tetik C, Arregui ME, Dulucq JL, Fitzgibbons RJ, Franklin ME, McKernan JB, et al. Complications and recurrences associated with laparoscopic repair of groin hernias. A multi-institutional retrospective analysis. Surg Endosc 1994; 8: 1316-22; discussion 1322-3.

  12. López CJA, Guzmán CF, Martínez GA. Curva de aprendizaje en plastía inguinal laparoscópica ¿Cómo superarla? Cir Gen 2003; 25: 291-4.

  13. Liem MS, van Steensel CJ, Boelhouwer RU, Weidema WF, Clevers GJ, Meijer WS, et al. The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 1996; 171: 281-5.

  14. Felix EL, Harbertson N, Vartanian S. Laparoscopic hernioplasty: significant complications. Surg Endosc 1999; 13: 328-31.

  15. Voyles CR, Hamilton BJ, Johnson WD, Kano N. Meta-analysis of laparoscopic inguinal hernia trials favors open hernia repair with preperitoneal mesh prosthesis. Am J Surg 2002; 184: 6-10.






>Journals >Cirujano General >Year 2005, Issue 4
 

· Journal Index 
· Links 






       
Copyright 2019