Laparoscopic Repair of Strangulated Hernias

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2005 Dec 8

PMID 16333554

Citations 32

Authors

C Rebuffat

A Galli

M S Scalambra

F Balsamo

Affiliations

Soon will be listed here.

Abstract

Background: Although laparoscopic transabdominal preperitoneal polypropylene (TAPP) hernia repair is now a recognized procedure for groin hernia repair in patients undergoing elective surgery, there is a scarcity of data on TAPP repair in emergency situations such as those involving strangulated hernias.

Methods: Unless contraindicated, the authors' department considers laparoscopic TAPP repair the procedure of choice for all strangulated hernias. A prospective database of 1,532 consecutive hernia repairs performed between May 1998 and April 2004 was reviewed.

Results: A total of 28 irreducible strangulated hernias were observed and repaired through laparoscopic TAPP. There were three conversions (10.7%): one because of extensive adhesions and two because of bowel distention. Resection became necessary in 9 (36%) of the 25 cases involving effective TAPP repair of strangulated hernias. The mean operation time, with and without resection, was 103 and 55 min, respectively. The rate of postoperative morbidity was 4% because of one inguinal hematoma case. During a mean follow-up period of 340 days, there were no recurrences after TAPP repair.

Conclusions: For selected patients, the TAPP approach appears to be a good therapeutic option for strangulated hernias.

Citing Articles

Transabdominal preperitoneal (TAPP) repair for emergency groin hernia: a systematic review.

Correia de Sa T, Jacome F, Basto T, Costa M, Goncalves A, Teixeira N Hernia. 2024; 28(4):1005-1015.

PMID: 38522045 DOI: 10.1007/s10029-024-03018-8.

Open Emergent Groin Hernia Repair: Anterior or Posterior Approach?.

Rodrigues-Goncalves V, Verdaguer M, Moratal M, Blanco R, Bravo-Salva A, Pereira-Rodiguez J J Abdom Wall Surg. 2024; 1:10586.

PMID: 38314156 PMC: 10831659. DOI: 10.3389/jaws.2022.10586.

The Utility of Minimally Invasive Surgery in the Emergency Management of Femoral Hernias: A Systematic Review.

Shuttleworth P, Sabri S, Mihailescu A J Abdom Wall Surg. 2024; 2:11217.

PMID: 38312401 PMC: 10831683. DOI: 10.3389/jaws.2023.11217.

Is TAPP the Right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?.

Eminoglu L Ulus Travma Acil Cerrahi Derg. 2024; 30(2):97-100.

PMID: 38305658 PMC: 10977506. DOI: 10.14744/tjtes.2024.63367.

Management of groin hernias in emergency setting: differences in indications and outcomes between laparoscopic and open approach. A single-center retrospective experience.

Sbacco V, Petrucciani N, Lauteri G, Cossa A, Portinari M, Brescia A Langenbecks Arch Surg. 2024; 409(1):48.

PMID: 38277083 PMC: 10817833. DOI: 10.1007/s00423-024-03238-7.

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