Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair

Abdelaziz Osman Elhendawy; Osama Hasan Abd-Raboh; Taha Ahmad Ismail; Abdelmonem Ahmad Nagy

doi:doi:10.11648/j.ass.20180601.11

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Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair

Abdelaziz Osman Elhendawy, Osama Hasan Abd-Raboh, Taha Ahmad Ismail, Abdelmonem Ahmad Nagy

Published in Advances in Surgical Sciences (Volume 6, Issue 1)

Received: 13 January 2018 Accepted: 26 January 2018 Published: 19 February 2018

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Abstract

Background: Whether totally extraperitoneal inguinal hernia repair (TEP) is associated with better outcomes than transabdominal preperitoneal inguinal hernia repair (TAPP) continues to be a matter of debate. The objective of this study is to compare outcomes between patients undergoing TEP or TAPP. Methods: This prospective randomized comparative study was carried out in Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospitals from May 2016 to May 2017, on 30 patients with inguinal hernia, divided into 2 equal groups: Group I: subjected to Transabdominal Pre-peritoneal (TAPP) inguinal hernia repair (15 cases). Group II: subjected to Totally Extraperitoneal (TEP) inguinal hernia repair (15 cases). Results: The mean age was 47.8±10.4 ranged from 19-65 years. All patients were presented with indirect inguinal hernia. All cases were male except one female patient. Operative time was 151.7±24.8 in TAPP approach in comparison to 88.42±30.6 minutes in TEP approach. Post-operative scrotal edema was higher in TAPP approach (9 cases) in comparison to TEP approach (3cases). Postoperative Hematoma and ileus were higher in TAPP technique (2cases). Postoperative Surgical emphysema was higher in TEP technique (3cases). Hospital stay in TAPP approach was longer than TEP approach. There was no difference regarding wound infection, mesh infection and recurrence. Follow up for 6 months of all cases for complication. Conclusion: TEP approach as the laparoscopic procedure of choice for inguinal hernia repair due to short operative time and less hospital stay than TAPP approach.

Published in	Advances in Surgical Sciences (Volume 6, Issue 1)
DOI	10.11648/j.ass.20180601.11
Page(s)	1-6
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Inguinal Hernia, TEP, Totally Extraperitoneal, TAPP, Transabdominal Preperitoneal, Mesh, Fixation, Tacker

References

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APA Style

Abdelaziz Osman Elhendawy, Osama Hasan Abd-Raboh, Taha Ahmad Ismail, Abdelmonem Ahmad Nagy. (2018). Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair. Advances in Surgical Sciences, 6(1), 1-6. https://doi.org/10.11648/j.ass.20180601.11

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ACS Style

Abdelaziz Osman Elhendawy; Osama Hasan Abd-Raboh; Taha Ahmad Ismail; Abdelmonem Ahmad Nagy. Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair. Adv. Surg. Sci. 2018, 6(1), 1-6. doi: 10.11648/j.ass.20180601.11

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AMA Style

Abdelaziz Osman Elhendawy, Osama Hasan Abd-Raboh, Taha Ahmad Ismail, Abdelmonem Ahmad Nagy. Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair. Adv Surg Sci. 2018;6(1):1-6. doi: 10.11648/j.ass.20180601.11

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@article{10.11648/j.ass.20180601.11,
  author = {Abdelaziz Osman Elhendawy and Osama Hasan Abd-Raboh and Taha Ahmad Ismail and Abdelmonem Ahmad Nagy},
  title = {Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair},
  journal = {Advances in Surgical Sciences},
  volume = {6},
  number = {1},
  pages = {1-6},
  doi = {10.11648/j.ass.20180601.11},
  url = {https://doi.org/10.11648/j.ass.20180601.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20180601.11},
  abstract = {Background: Whether totally extraperitoneal inguinal hernia repair (TEP) is associated with better outcomes than transabdominal preperitoneal inguinal hernia repair (TAPP) continues to be a matter of debate. The objective of this study is to compare outcomes between patients undergoing TEP or TAPP. Methods: This prospective randomized comparative study was carried out in Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospitals from May 2016 to May 2017, on 30 patients with inguinal hernia, divided into 2 equal groups: Group I: subjected to Transabdominal Pre-peritoneal (TAPP) inguinal hernia repair (15 cases). Group II: subjected to Totally Extraperitoneal (TEP) inguinal hernia repair (15 cases). Results: The mean age was 47.8±10.4 ranged from 19-65 years. All patients were presented with indirect inguinal hernia. All cases were male except one female patient. Operative time was 151.7±24.8 in TAPP approach in comparison to 88.42±30.6 minutes in TEP approach. Post-operative scrotal edema was higher in TAPP approach (9 cases) in comparison to TEP approach (3cases). Postoperative Hematoma and ileus were higher in TAPP technique (2cases). Postoperative Surgical emphysema was higher in TEP technique (3cases). Hospital stay in TAPP approach was longer than TEP approach. There was no difference regarding wound infection, mesh infection and recurrence. Follow up for 6 months of all cases for complication. Conclusion: TEP approach as the laparoscopic procedure of choice for inguinal hernia repair due to short operative time and less hospital stay than TAPP approach.},
 year = {2018}
}

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TY - JOUR
T1 - Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair
AU - Abdelaziz Osman Elhendawy
AU - Osama Hasan Abd-Raboh
AU - Taha Ahmad Ismail
AU - Abdelmonem Ahmad Nagy
Y1 - 2018/02/19
PY - 2018
N1 - https://doi.org/10.11648/j.ass.20180601.11
DO - 10.11648/j.ass.20180601.11
T2 - Advances in Surgical Sciences
JF - Advances in Surgical Sciences
JO - Advances in Surgical Sciences
SP - 1
EP - 6
PB - Science Publishing Group
SN - 2376-6182
UR - https://doi.org/10.11648/j.ass.20180601.11
AB - Background: Whether totally extraperitoneal inguinal hernia repair (TEP) is associated with better outcomes than transabdominal preperitoneal inguinal hernia repair (TAPP) continues to be a matter of debate. The objective of this study is to compare outcomes between patients undergoing TEP or TAPP. Methods: This prospective randomized comparative study was carried out in Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospitals from May 2016 to May 2017, on 30 patients with inguinal hernia, divided into 2 equal groups: Group I: subjected to Transabdominal Pre-peritoneal (TAPP) inguinal hernia repair (15 cases). Group II: subjected to Totally Extraperitoneal (TEP) inguinal hernia repair (15 cases). Results: The mean age was 47.8±10.4 ranged from 19-65 years. All patients were presented with indirect inguinal hernia. All cases were male except one female patient. Operative time was 151.7±24.8 in TAPP approach in comparison to 88.42±30.6 minutes in TEP approach. Post-operative scrotal edema was higher in TAPP approach (9 cases) in comparison to TEP approach (3cases). Postoperative Hematoma and ileus were higher in TAPP technique (2cases). Postoperative Surgical emphysema was higher in TEP technique (3cases). Hospital stay in TAPP approach was longer than TEP approach. There was no difference regarding wound infection, mesh infection and recurrence. Follow up for 6 months of all cases for complication. Conclusion: TEP approach as the laparoscopic procedure of choice for inguinal hernia repair due to short operative time and less hospital stay than TAPP approach.
VL - 6
IS - 1
ER -

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Author Information

Abdelaziz Osman Elhendawy

Gastrointestinal and Laparoscopic Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Osama Hasan Abd-Raboh

Gastrointestinal and Laparoscopic Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Taha Ahmad Ismail

Gastrointestinal and Laparoscopic Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt
Abdelmonem Ahmad Nagy

Gastrointestinal and Laparoscopic Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt

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APA Style

Abdelaziz Osman Elhendawy, Osama Hasan Abd-Raboh, Taha Ahmad Ismail, Abdelmonem Ahmad Nagy. (2018). Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair. Advances in Surgical Sciences, 6(1), 1-6. https://doi.org/10.11648/j.ass.20180601.11

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Abdelaziz Osman Elhendawy; Osama Hasan Abd-Raboh; Taha Ahmad Ismail; Abdelmonem Ahmad Nagy. Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair. Adv. Surg. Sci. 2018, 6(1), 1-6. doi: 10.11648/j.ass.20180601.11

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AMA Style

Abdelaziz Osman Elhendawy, Osama Hasan Abd-Raboh, Taha Ahmad Ismail, Abdelmonem Ahmad Nagy. Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair. Adv Surg Sci. 2018;6(1):1-6. doi: 10.11648/j.ass.20180601.11

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@article{10.11648/j.ass.20180601.11,
  author = {Abdelaziz Osman Elhendawy and Osama Hasan Abd-Raboh and Taha Ahmad Ismail and Abdelmonem Ahmad Nagy},
  title = {Randomized Comparative Study Between Laparoscopic Transabdominal Pre-Peritoneal Versus Totally Extraperitoneal Approach in Inguinal Hernia Repair},
  journal = {Advances in Surgical Sciences},
  volume = {6},
  number = {1},
  pages = {1-6},
  doi = {10.11648/j.ass.20180601.11},
  url = {https://doi.org/10.11648/j.ass.20180601.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ass.20180601.11},
  abstract = {Background: Whether totally extraperitoneal inguinal hernia repair (TEP) is associated with better outcomes than transabdominal preperitoneal inguinal hernia repair (TAPP) continues to be a matter of debate. The objective of this study is to compare outcomes between patients undergoing TEP or TAPP. Methods: This prospective randomized comparative study was carried out in Gastrointestinal and Laparoscopic Surgery Unit, General Surgery Department, Tanta University Hospitals from May 2016 to May 2017, on 30 patients with inguinal hernia, divided into 2 equal groups: Group I: subjected to Transabdominal Pre-peritoneal (TAPP) inguinal hernia repair (15 cases). Group II: subjected to Totally Extraperitoneal (TEP) inguinal hernia repair (15 cases). Results: The mean age was 47.8±10.4 ranged from 19-65 years. All patients were presented with indirect inguinal hernia. All cases were male except one female patient. Operative time was 151.7±24.8 in TAPP approach in comparison to 88.42±30.6 minutes in TEP approach. Post-operative scrotal edema was higher in TAPP approach (9 cases) in comparison to TEP approach (3cases). Postoperative Hematoma and ileus were higher in TAPP technique (2cases). Postoperative Surgical emphysema was higher in TEP technique (3cases). Hospital stay in TAPP approach was longer than TEP approach. There was no difference regarding wound infection, mesh infection and recurrence. Follow up for 6 months of all cases for complication. Conclusion: TEP approach as the laparoscopic procedure of choice for inguinal hernia repair due to short operative time and less hospital stay than TAPP approach.},
 year = {2018}
}

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