Tshijanu F1*, Biniaris G1, Paraskevopoulou E1, Chatzigianni E2 and Xiarchos A1
1Department of Surgery, Athens Medical Group, Clinic of Peristeri, Greece 2Department of Anesthesiology, Athens Medical Group, Clinic of Peristeri, GreeceFulltext PDF
Background: Inguinal hernia repair is one of the most frequently performed surgical procedures worldwide. However, the most ideal surgical technique for inguinal hernia has not yet been defined between open-mesh repair and laparoscopic mesh approach. According to many centers, the best surgical approach for inguinal hernia remains the approach that the surgeon is skilled to perform. Methods: We randomly enrolled patients from our Surgical Department, presenting with unilateral inguinal hernia, shifted either to open mesh repair or to laparoscopic mesh repair. The inclusive criteria were: patients with primary unilateral inguinal hernias were divided in two groups accordingly they were shifted to Total Extraperitoneal Repair (TEP) or to open mesh repair. We recorded for each age, gender as well as postoperative outcome. The study period was for 5 years i.e. from 2014 to 2018. Patient’s characteristics are defined in Table 1. Results: A total of 2321 patients with inguinal hernia was enrolled, most of them where males, 974 (42%) of them underwent TEP hernia repair vs. 1350(58%). Regarding the postoperative outcome, patients from TEP group have noticed decreased EP pain (0%, 15% vs. 4%, 21%), urinary retention 0%, 07% vs. 2%, 77%, chronic groin pain was similarly noticed in both group with no significant difference (0%, 07% vs. 0%, 10%), chronic groin numbness was not noticed in both group, and there was no significant difference regarding recurrent rate in the two patients groups. Furthermore the cost of TEP procedure was increased in 10% (Figures 1-4). We also noticed that the TEP was performed 12 min faster than the open procedure. Conclusion: In case of unilateral, first-time hernia, both open mesh and laparoscopic mesh repairs offer excellent results, the choice depends on the surgeon skill as well as on the patient preference relative to his economical ability
Inguinal hernia; Open repair; Total extraperitoneal repair (TEP); Mesh; Fixation
Tshijanu F, Biniaris G, Paraskevopoulou E, Chatzigianni E, Xiarchos A. Inguinal Hernia Repair, Lichtenstein vs. Laparoscopic Approach: Prospective Study (2014-2018). J Gastroenterol Hepatol Endosc. 2019;4(4):1066..