Complications and recurrences associated with laparoscopic repair of groin hernias - A multi-institutional retrospective analysis

C. Tetik, M. E. Arregui, J. L. Dulucq, Robert Joseph Fitzgibbons, M. E. Franklin, J. B. McKernan, R. D. Rosin, L. S. Schultz, F. K. Toy

Research output: Contribution to journalArticle

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Abstract

Although the laparoscopic technique is a new approach to groin hernia, it is becoming more widely accepted as an alternative to traditional open techniques. This study is a preliminary review of complications and recurrences. A questionnaire specific for complications was sent to each investigator. From 12/89 to 4/93, 1,514 hernias were repaired; 119 (7.8%) were bilateral and 192 (12.7%) recurrent. There were 860 indirect, 560 direct, 43 pantaloon, 37 femoral, and 6 obturator hernias, and 8 were not specified; 553 were repaired using a transabdominal preperitoneal mesh technique (TAPP), 457 with a total extraperitoneal technique (TEP), 320 with intraperitoneal onlay mesh (IPOM), 102 by ring closure, and 82 involved plug and patch technique. Eighteen intraoperative and 188 postoperative complications were seen. The total complication rate was 13.6%, of which 1.2% were intraoperative. Of the intraoperative complications, 12 were related to the laparoscopic technique, three were related to the hernia repair, and one was related to anesthesia. The rate of conversion to open was 0.8%. Of the postoperative complications, there were 95 local, 25 neurologic, 23 testicular, 23 urinary, 10 mesh, and 12 miscellaneous. There were 34 recurrences after the 1,514 hernia repairs (2.2%). The follow-up was reported in 828 patients for an average of 13 months. The recurrence rate varied drastically with the technique: A 22% recurrence rate after the plug and patch vs 3%, 2.2%, 0.7%, and 0.4% with the ring closure, IPOM, TAPP, and TEP, respectively. Laparoscopic repair of groin hernia can be safely performed. Complications, mostly minor, diminish with experience. The recurrence rate is less with large mesh which is anchored.

Original languageEnglish
Pages (from-to)1316-1323
Number of pages8
JournalSurgical Endoscopy
Volume8
Issue number11
DOIs
StatePublished - Nov 1994

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Groin
Herniorrhaphy
Recurrence
Inlays
Hernia
Obturator Hernia
Intraoperative Complications
Thigh
Nervous System
Anesthesia
Research Personnel

All Science Journal Classification (ASJC) codes

  • Surgery

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Complications and recurrences associated with laparoscopic repair of groin hernias - A multi-institutional retrospective analysis. / Tetik, C.; Arregui, M. E.; Dulucq, J. L.; Fitzgibbons, Robert Joseph; Franklin, M. E.; McKernan, J. B.; Rosin, R. D.; Schultz, L. S.; Toy, F. K.

In: Surgical Endoscopy, Vol. 8, No. 11, 11.1994, p. 1316-1323.

Research output: Contribution to journalArticle

Tetik, C, Arregui, ME, Dulucq, JL, Fitzgibbons, RJ, Franklin, ME, McKernan, JB, Rosin, RD, Schultz, LS & Toy, FK 1994, 'Complications and recurrences associated with laparoscopic repair of groin hernias - A multi-institutional retrospective analysis', Surgical Endoscopy, vol. 8, no. 11, pp. 1316-1323. https://doi.org/10.1007/BF00188291
Tetik, C. ; Arregui, M. E. ; Dulucq, J. L. ; Fitzgibbons, Robert Joseph ; Franklin, M. E. ; McKernan, J. B. ; Rosin, R. D. ; Schultz, L. S. ; Toy, F. K. / Complications and recurrences associated with laparoscopic repair of groin hernias - A multi-institutional retrospective analysis. In: Surgical Endoscopy. 1994 ; Vol. 8, No. 11. pp. 1316-1323.
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abstract = "Although the laparoscopic technique is a new approach to groin hernia, it is becoming more widely accepted as an alternative to traditional open techniques. This study is a preliminary review of complications and recurrences. A questionnaire specific for complications was sent to each investigator. From 12/89 to 4/93, 1,514 hernias were repaired; 119 (7.8{\%}) were bilateral and 192 (12.7{\%}) recurrent. There were 860 indirect, 560 direct, 43 pantaloon, 37 femoral, and 6 obturator hernias, and 8 were not specified; 553 were repaired using a transabdominal preperitoneal mesh technique (TAPP), 457 with a total extraperitoneal technique (TEP), 320 with intraperitoneal onlay mesh (IPOM), 102 by ring closure, and 82 involved plug and patch technique. Eighteen intraoperative and 188 postoperative complications were seen. The total complication rate was 13.6{\%}, of which 1.2{\%} were intraoperative. Of the intraoperative complications, 12 were related to the laparoscopic technique, three were related to the hernia repair, and one was related to anesthesia. The rate of conversion to open was 0.8{\%}. Of the postoperative complications, there were 95 local, 25 neurologic, 23 testicular, 23 urinary, 10 mesh, and 12 miscellaneous. There were 34 recurrences after the 1,514 hernia repairs (2.2{\%}). The follow-up was reported in 828 patients for an average of 13 months. The recurrence rate varied drastically with the technique: A 22{\%} recurrence rate after the plug and patch vs 3{\%}, 2.2{\%}, 0.7{\%}, and 0.4{\%} with the ring closure, IPOM, TAPP, and TEP, respectively. Laparoscopic repair of groin hernia can be safely performed. Complications, mostly minor, diminish with experience. The recurrence rate is less with large mesh which is anchored.",
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AU - Arregui, M. E.

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AU - Fitzgibbons, Robert Joseph

AU - Franklin, M. E.

AU - McKernan, J. B.

AU - Rosin, R. D.

AU - Schultz, L. S.

AU - Toy, F. K.

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N2 - Although the laparoscopic technique is a new approach to groin hernia, it is becoming more widely accepted as an alternative to traditional open techniques. This study is a preliminary review of complications and recurrences. A questionnaire specific for complications was sent to each investigator. From 12/89 to 4/93, 1,514 hernias were repaired; 119 (7.8%) were bilateral and 192 (12.7%) recurrent. There were 860 indirect, 560 direct, 43 pantaloon, 37 femoral, and 6 obturator hernias, and 8 were not specified; 553 were repaired using a transabdominal preperitoneal mesh technique (TAPP), 457 with a total extraperitoneal technique (TEP), 320 with intraperitoneal onlay mesh (IPOM), 102 by ring closure, and 82 involved plug and patch technique. Eighteen intraoperative and 188 postoperative complications were seen. The total complication rate was 13.6%, of which 1.2% were intraoperative. Of the intraoperative complications, 12 were related to the laparoscopic technique, three were related to the hernia repair, and one was related to anesthesia. The rate of conversion to open was 0.8%. Of the postoperative complications, there were 95 local, 25 neurologic, 23 testicular, 23 urinary, 10 mesh, and 12 miscellaneous. There were 34 recurrences after the 1,514 hernia repairs (2.2%). The follow-up was reported in 828 patients for an average of 13 months. The recurrence rate varied drastically with the technique: A 22% recurrence rate after the plug and patch vs 3%, 2.2%, 0.7%, and 0.4% with the ring closure, IPOM, TAPP, and TEP, respectively. Laparoscopic repair of groin hernia can be safely performed. Complications, mostly minor, diminish with experience. The recurrence rate is less with large mesh which is anchored.

AB - Although the laparoscopic technique is a new approach to groin hernia, it is becoming more widely accepted as an alternative to traditional open techniques. This study is a preliminary review of complications and recurrences. A questionnaire specific for complications was sent to each investigator. From 12/89 to 4/93, 1,514 hernias were repaired; 119 (7.8%) were bilateral and 192 (12.7%) recurrent. There were 860 indirect, 560 direct, 43 pantaloon, 37 femoral, and 6 obturator hernias, and 8 were not specified; 553 were repaired using a transabdominal preperitoneal mesh technique (TAPP), 457 with a total extraperitoneal technique (TEP), 320 with intraperitoneal onlay mesh (IPOM), 102 by ring closure, and 82 involved plug and patch technique. Eighteen intraoperative and 188 postoperative complications were seen. The total complication rate was 13.6%, of which 1.2% were intraoperative. Of the intraoperative complications, 12 were related to the laparoscopic technique, three were related to the hernia repair, and one was related to anesthesia. The rate of conversion to open was 0.8%. Of the postoperative complications, there were 95 local, 25 neurologic, 23 testicular, 23 urinary, 10 mesh, and 12 miscellaneous. There were 34 recurrences after the 1,514 hernia repairs (2.2%). The follow-up was reported in 828 patients for an average of 13 months. The recurrence rate varied drastically with the technique: A 22% recurrence rate after the plug and patch vs 3%, 2.2%, 0.7%, and 0.4% with the ring closure, IPOM, TAPP, and TEP, respectively. Laparoscopic repair of groin hernia can be safely performed. Complications, mostly minor, diminish with experience. The recurrence rate is less with large mesh which is anchored.

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