Extraperitoneal Laparoscopic Approach in Inguinal Hernia—The Ideal Solution?
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Type of Surgery | Number of Patients | Percentage |
---|---|---|
Unilateral TEP | 243 | 49.2 |
Bilateral TEP | 226 | 45.84 |
Unilateral TAPP | 5 | 1.01 |
Bilateral TAPP | 3 | 0.6 |
Lichtenstein “tension free”—bilateral | 3 | 0.60 |
Lichtenstein “tension free”—unilateral | 13 | 2.63 |
Total | 493 | 100.0 |
Descriptives | |||
---|---|---|---|
Type of Surgery | Statistic | ||
AGE | TEP unilateral | Mean | 47.63 |
Median | 44 | ||
Std. deviation | 14.98 | ||
TEP bilateral | Mean | 48.83 | |
Median | 46 | ||
Std. deviation | 13.959 |
Type of Surgery | Valid | ||
---|---|---|---|
n = 152 | % of Elderly Patients | % Total (493) | |
Unilateral TEP | 46 | 30.2 | 9.33 |
Bilateral TEP | 82 | 63.2 | 16.6 |
Unilateral TAPP | 5 | 3.28 | 1.01 |
Bilateral TAPP | 3 | 1.97 | 0.60 |
Lichtenstein “tension free“—bilateral | 3 | 1.97 | 0.60 |
Lichtenstein “tension free“—unilateral | 13 | 8.55 | 2.63 |
Type of Surgery * Sex Crosstabulation | |||||
---|---|---|---|---|---|
Gender | Total (n = 493) | ||||
Female | Male | ||||
Type of surgery | Uni/bilateral TEP | Count | 55 | 414 | 469 |
% of Total | 11.15% | 83.97% | 95.13% | ||
Uni/bilateral TAPP | Count | 2 | 6 | 8 | |
% of Total | 0.40% | 1.21% | 1.62% | ||
Lichtenstein “tension free”—uni/bilateral | Count | 3 | 13 | 16 | |
% of Total | 0.60% | 2.63% | 37.20% | ||
Total | Count | 60 | 433 | 493 | |
% of Total | 12.17% | 87.83% | 100% |
TEP | TAPP | ||
---|---|---|---|
Type of hernia | Indirect hernia—NYHUS I,II | 28 | 4 |
Direct hernia—NYHUS III A | 210 | 2 | |
Complex hernia—NYHUS IIIB | 205 | 1 | |
Femoral hernia—NYHUS IIIC | 2 | 0 | |
Recurrent hernias NYHUS IV | 24 | 1 | |
Total | 469 | 8 |
Reductible | Incarcerated | Strangulated | Total | ||
---|---|---|---|---|---|
Surgery type | TEP | 249 | 220 | 0 | 469 |
TAPP | 3 | 5 | 0 | 8 | |
Lichtenstein | 3 | 10 | 3 | 16 | |
Total | 255 (51.72%) | 235 (47.66%) | 3 (0.60%) | 493 |
Type of Complication/Surgical Procedure | TEP: 469 | TAPP: 8 | Lichtenstein: 16 | |
---|---|---|---|---|
Intraoperative Complications | 0 | 0 | 0 | |
Immediate postoperative complications | Wound seroma | 3 (0.63%) | 0 | 2 (12.5%) |
Urinary retention | 29 (6.18%) | 1 (12.5%) | 1 (6.25%) | |
Wound/inguinal—scrotal hematoma | 3 (0.63%) | 1 (12.5%) | 2 (12.5%) | |
Intra/extraperitoneal bleeding | 5 (1.07%) | 0 | 0 | |
Suppurative complications/mesh infection | 0 | 0 | 0 | |
Pain/transitory neurological disorders | 6 (1.27%) | 0 | 2 (12.5%) | |
Late postoperative complications | Pain/persistent neurological disorders | 0 | 0 | 1 (6.25%) |
Recurrences | 2 (0.42%) | 0 | 0 | |
Total | 48 (10.23%) | 2 (25%) | 8 (50%) |
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Barta, B.; Dumitraș, M.; Bucur, Ș.; Giuroiu, C.; Zlotea, R.; Constantin, M.-M.; Mădan, V.; Constantin, T.; Iorga, C.R. Extraperitoneal Laparoscopic Approach in Inguinal Hernia—The Ideal Solution? J. Clin. Med. 2022, 11, 5652. https://doi.org/10.3390/jcm11195652
Barta B, Dumitraș M, Bucur Ș, Giuroiu C, Zlotea R, Constantin M-M, Mădan V, Constantin T, Iorga CR. Extraperitoneal Laparoscopic Approach in Inguinal Hernia—The Ideal Solution? Journal of Clinical Medicine. 2022; 11(19):5652. https://doi.org/10.3390/jcm11195652
Chicago/Turabian StyleBarta, Bogdan, Marina Dumitraș, Ștefana Bucur, Camelia Giuroiu, Raluca Zlotea, Maria-Magdalena Constantin, Victor Mădan, Traian Constantin, and Cristina Raluca Iorga. 2022. "Extraperitoneal Laparoscopic Approach in Inguinal Hernia—The Ideal Solution?" Journal of Clinical Medicine 11, no. 19: 5652. https://doi.org/10.3390/jcm11195652
APA StyleBarta, B., Dumitraș, M., Bucur, Ș., Giuroiu, C., Zlotea, R., Constantin, M. -M., Mădan, V., Constantin, T., & Iorga, C. R. (2022). Extraperitoneal Laparoscopic Approach in Inguinal Hernia—The Ideal Solution? Journal of Clinical Medicine, 11(19), 5652. https://doi.org/10.3390/jcm11195652