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Bilateral inguinal hernia repair: laparoscopic or open approach?

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Abstract

Background

The aim of this study was to investigate outcomes in the treatment of bilateral inguinal hernia, comparing the laparoscopic totally extraperitoneal (TEP) and open tension-free mesh repair (LICHT) approaches.

Methods

We performed a prospective controlled non randomized clinical study in 128 patients with bilateral inguinal hernia over a period of 3 years. LICHT was used in 106 cases (53 patients) while TEP was employed in 150 cases (75 patients). The main outcome measurements were: recurrence rate, operating time, hospital stay and postoperative complications.

Results

There were three recurrences (2.3%): two in the LICHT group (3.8%) and one (1.3%) in the TEP group P = NS. The TEP procedure was faster than LICHT repair (48.8 ± 10.8 vs. 70.4 ± 11.2 min) P < 0.01. Postoperative complications were more frequent in LICHT group (16%) than TEP group (5.3%) P < 0.01. Hospital stay was significantly shorter in the TEP group (0.6 ± 0.8 vs. 1.3 ± 1.2 days) P < 0.001.

Conclusions

The TEP approach is an effective option for the treatment of bilateral inguinal hernia when performed by experienced surgeons.

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References

  1. Fischer S, Cassivi S, Paul A, Troidl H (1999) Evidence-based medicine and special aspects in bilateral hernia repair. Hernia 3:89–95

    Article  Google Scholar 

  2. Frankum CE, Ramshaw BJ, White J, Duncan TD, Wilson RA, Mason EM, Lucas G, Promes J (1999) Laparoscopic repair of bilateral and recurrent hernias. Am Surg 65:839–842

    CAS  PubMed  Google Scholar 

  3. Torralba-Martinez JA, Moreno-Egea A, Liron-Ruiz R, Alarte-Garvi JM, Morales-Cuenca G, Miguel-Perello J, Martin-Lorenzo J, Aguayo-Albasini JL (2003) Bilateral inguinal hernia: open surgery versus extraperitoneal laparoscopic repair. Cir Esp 73:282–287

    Google Scholar 

  4. Berndsen F, Petersson U, Montgomery A (2002) Endoscopic repair of bilateral inguinal hernias—short and late outcome. Hernia 5:192–195

    Google Scholar 

  5. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403

    Article  CAS  PubMed  Google Scholar 

  6. Gould J (2008) Laparoscopic versus open inguinal hernia repair. Surg Clin North Am 88:1073–1081

    Article  PubMed  Google Scholar 

  7. Feliu Palà X, Martín Gómez M, Morales Conde S, Fernández Sallent E (2001) The impact of the surgeon′s experience on the results of laparoscopic hernia repair. Surg Endosc 15:1467–1470

    PubMed  Google Scholar 

  8. NICE (2001) Guidance on the use of laparoscopic surgery for inguinal hernia. Technology Appraisal Guidance No 18. National Institute for Clinical Excellence, London, pp 1–103

  9. Schmedt CG, Sauerland S, Bittner R (2005) Comparison of endoscopic procedures versus Lichtenstein and other open mesh techniques for inguinal hernia repair. A meta-analysis of randomized controlled trials. Surg Endosc 19:188–199

    Article  CAS  PubMed  Google Scholar 

  10. Lichtenstein IL, Shulman AG, Amid PK, Montllor MM (1989) The tension-free hernioplasty. Am J Surg 157:188–193

    Article  CAS  PubMed  Google Scholar 

  11. Feliu X, Jaurrieta E, Viñas X, Macarulla E, Abad JM, Fernández-Sallent E (2004) Recurrent inguinal hernia: a 10-year review. J J Laparoendosc Adv Surg Tech 14:362–367

    Google Scholar 

  12. Feliu X, Torres G, Viñas X, Martínez Ródenas F, Fdez-Sallent E, Pie J (2004) Preperitoneal repair for recurrent inguinal hernia: laparoscopic and open approach. Hernia 8:113–116

    Article  CAS  PubMed  Google Scholar 

  13. Amid PK, Shulman AG, Lichtenstein IL (1995) Simultaneous repair of bilateral inguinal hernias under local anaesthesia. Ann Surg 223:249–252

    Article  Google Scholar 

  14. Kark AE, Belsham PA, Kurzer MN (2005) Simultaneous repair of bilateral groin hernias using local anaesthesia: a review of 199 cases with a five-year follow-up. Hernia 9:131–133

    Article  CAS  PubMed  Google Scholar 

  15. Fernandez-Lobato R, Tartas Ruiz A, Jimenez-Miramon FJ, Marin-Lucas FJ, Ruiz de Adana-Belbel JC, Limones-Esteban M (2006) Stoppa procedure in bilateral inguinal hernia. Hernia 10:179–183

    Article  PubMed  Google Scholar 

  16. Arregui ME, Young SB (2005) Groin hernia repair by laparoscopic techniques: current status and controversies. World J Surg 29:1052–1057

    Article  PubMed  Google Scholar 

  17. Dedemadi G, Sgourakis G, Karaliotas C et al (2006) Comparison of laparoscopic and open tension-free repair of recurrent inguinal hernias: a prospective randomized study. Surg Endosc 20:1099–1104

    Article  CAS  PubMed  Google Scholar 

  18. Velasco JM, Gelman C, Vallina VL (1996) Preperitoneal bilateral inguinal herniorrhaphy evolution of a technique from conventional to laparoscopic. Surg Endosc 10(2):122–127

    CAS  PubMed  Google Scholar 

  19. Krähenbühl L, Schäfer M, Schilling M, Kuzinkovas V, Büchler MW (1998) Simultaneous repair of bilateral groin hernias: open or laparoscopic approach? Surg Laparosc Endosc 8(4):313–318

    Article  PubMed  Google Scholar 

  20. Gainant A, Geballa R, Bouvier S, Cubertafond P, Mathonnet M (2000) Prosthetic treatment of bilateral inguinal hernias via laparoscopic approach or Stoppa procedure. Ann Chir 125(6):560–565

    Article  CAS  PubMed  Google Scholar 

  21. Sarli L, Iusco DR, Sansebastiano G, Costi R (2001) Simultaneous repair of bilateral inguinal hernias: a prospective, randomized study of open, tension-free versus laparoscopic approach. Surg Laparosc Endosc Percutan Tech 11(4):262–267

    Article  CAS  PubMed  Google Scholar 

  22. Mahon D, Decadt B, Rhodes M (2003) Prospective randomized trial of laparoscopic (transabdominal preperitoneal) versus open (mesh) repair for bilateral and recurrent inguinal hernia. Surg Endosc 17(9):1386–1390

    Article  CAS  PubMed  Google Scholar 

  23. Kald A, Fridsten S, Nordin P (2002) Outcome of repair of bilateral groin hernias: a prospective evaluation of 1, 487 patients. Eur J Surg 168(3):150–153

    Article  PubMed  Google Scholar 

  24. Wauschkuhn CA, Schwarz J, Boekeler U, Bittner R (2010) Laparoscopic inguinal hernia repair: gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature. Surg Endosc May 8. [Epub ahead of print]. doi:10.1007/s00464-010-1079-x

  25. Halm JA, Heisterkamp J, Boelhouwer RU, den Hoed PT, Weidema WF (2005) Totally extraperitoneal repair for bilateral inguinal hernia. Does mesh configuration matter? Surg Endosc 19:1373–1376

    Article  CAS  PubMed  Google Scholar 

  26. Knook MT, Weidema WF, Stassen LP, Boelhouwer RU, van Steensel CJ (1999) Endoscopic totally extraperitoneal repair of bilateral inguinal hernias. Br J Surg 86(10):1312–1316

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of General and Laparoscopic Surgery, Hospital General d’Igualada, Avda, Catalunya 11, 08700, Igualada, Barcelona, Spain

    X. Feliu, R. Clavería, P. Besora, J. Camps, E. Fernández-Sallent, X. Viñas & J. M. Abad

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  1. X. Feliu
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  2. R. Clavería
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  3. P. Besora
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  4. J. Camps
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  5. E. Fernández-Sallent
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  6. X. Viñas
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  7. J. M. Abad
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Correspondence to X. Feliu.

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Feliu, X., Clavería, R., Besora, P. et al. Bilateral inguinal hernia repair: laparoscopic or open approach?. Hernia 15, 15–18 (2011). https://doi.org/10.1007/s10029-010-0736-2

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  • DOI: https://doi.org/10.1007/s10029-010-0736-2

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