Incidence of complications following laparoscopic hernioplasty

E. H. Phillips, M. Arregui, B. J. Carroll, J. Corbitt, W. B. Crafton, M. J. Fallas, Charles Filipi, Robert Joseph Fitzgibbons, M. J. Franklin, B. McKernan, D. Olsen, A. Ortega, J. H. Payne, J. Peters, R. Rodriguez, P. Rosette, L. Schultz, A. Seid, R. Sewell, R. SmootF. Toy, R. Waddell, S. Watson

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Abstract

Smaller individual series on the outcome of laparoscopic hernioplasty techniques have been reported. This study reports on the complications of 3,229 laparoscopic hernia repairs performed by the authors in 2,559 patients. The TAPP (transabdominal preperitoneal) technique was the most frequently performed: 1,944 (60%). The totally preperitoneal technique was performed 578 (18%) times. The IPOM (intraperitoneal onlay mesh) repair was performed 345 (11%) times. The plug-and-patch technique was used 286 (9%) times and simple closure of the hernia defect without mesh was used in 76 (2%) repairs. Overall, there were 336 (10%) complications: 17 (0.5%) major and 265 (8%) minor. There were 54 (1.6%) recurrences, with a mean follow-up of 22 months. The TAPP technique had 19 (1%) recurrences and 141 (7%) complications. There were four bowel obstructions in this subgroup from herniation of small bowel through the peritoneal closure and trocar sites. The totally preperitoneal technique had no recurrence and 60 (10%) complications. The IPOM group had 7 (2%) recurrences and 47 (14%) complications. The plug-and-patch technique had 26 (9%) recurrences and 24 (8%) complications. The simple closure of the internal ring had 2 (3%) recurrences and 10 (13%) complications. Laparoscopic hernioplasty is not without complications. Training, experience, and attention to technique will prevent some of these complications.

Original languageEnglish
Pages (from-to)16-21
Number of pages6
JournalSurgical Endoscopy
Volume9
Issue number1
DOIs
StatePublished - Jan 1995
Externally publishedYes

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Herniorrhaphy
Recurrence
Incidence
Inlays
Hernia
Surgical Instruments

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Phillips, E. H., Arregui, M., Carroll, B. J., Corbitt, J., Crafton, W. B., Fallas, M. J., ... Watson, S. (1995). Incidence of complications following laparoscopic hernioplasty. Surgical Endoscopy, 9(1), 16-21. https://doi.org/10.1007/BF00187878

Incidence of complications following laparoscopic hernioplasty. / Phillips, E. H.; Arregui, M.; Carroll, B. J.; Corbitt, J.; Crafton, W. B.; Fallas, M. J.; Filipi, Charles; Fitzgibbons, Robert Joseph; Franklin, M. J.; McKernan, B.; Olsen, D.; Ortega, A.; Payne, J. H.; Peters, J.; Rodriguez, R.; Rosette, P.; Schultz, L.; Seid, A.; Sewell, R.; Smoot, R.; Toy, F.; Waddell, R.; Watson, S.

In: Surgical Endoscopy, Vol. 9, No. 1, 01.1995, p. 16-21.

Research output: Contribution to journalArticle

Phillips, EH, Arregui, M, Carroll, BJ, Corbitt, J, Crafton, WB, Fallas, MJ, Filipi, C, Fitzgibbons, RJ, Franklin, MJ, McKernan, B, Olsen, D, Ortega, A, Payne, JH, Peters, J, Rodriguez, R, Rosette, P, Schultz, L, Seid, A, Sewell, R, Smoot, R, Toy, F, Waddell, R & Watson, S 1995, 'Incidence of complications following laparoscopic hernioplasty', Surgical Endoscopy, vol. 9, no. 1, pp. 16-21. https://doi.org/10.1007/BF00187878
Phillips EH, Arregui M, Carroll BJ, Corbitt J, Crafton WB, Fallas MJ et al. Incidence of complications following laparoscopic hernioplasty. Surgical Endoscopy. 1995 Jan;9(1):16-21. https://doi.org/10.1007/BF00187878
Phillips, E. H. ; Arregui, M. ; Carroll, B. J. ; Corbitt, J. ; Crafton, W. B. ; Fallas, M. J. ; Filipi, Charles ; Fitzgibbons, Robert Joseph ; Franklin, M. J. ; McKernan, B. ; Olsen, D. ; Ortega, A. ; Payne, J. H. ; Peters, J. ; Rodriguez, R. ; Rosette, P. ; Schultz, L. ; Seid, A. ; Sewell, R. ; Smoot, R. ; Toy, F. ; Waddell, R. ; Watson, S. / Incidence of complications following laparoscopic hernioplasty. In: Surgical Endoscopy. 1995 ; Vol. 9, No. 1. pp. 16-21.
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abstract = "Smaller individual series on the outcome of laparoscopic hernioplasty techniques have been reported. This study reports on the complications of 3,229 laparoscopic hernia repairs performed by the authors in 2,559 patients. The TAPP (transabdominal preperitoneal) technique was the most frequently performed: 1,944 (60{\%}). The totally preperitoneal technique was performed 578 (18{\%}) times. The IPOM (intraperitoneal onlay mesh) repair was performed 345 (11{\%}) times. The plug-and-patch technique was used 286 (9{\%}) times and simple closure of the hernia defect without mesh was used in 76 (2{\%}) repairs. Overall, there were 336 (10{\%}) complications: 17 (0.5{\%}) major and 265 (8{\%}) minor. There were 54 (1.6{\%}) recurrences, with a mean follow-up of 22 months. The TAPP technique had 19 (1{\%}) recurrences and 141 (7{\%}) complications. There were four bowel obstructions in this subgroup from herniation of small bowel through the peritoneal closure and trocar sites. The totally preperitoneal technique had no recurrence and 60 (10{\%}) complications. The IPOM group had 7 (2{\%}) recurrences and 47 (14{\%}) complications. The plug-and-patch technique had 26 (9{\%}) recurrences and 24 (8{\%}) complications. The simple closure of the internal ring had 2 (3{\%}) recurrences and 10 (13{\%}) complications. Laparoscopic hernioplasty is not without complications. Training, experience, and attention to technique will prevent some of these complications.",
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T1 - Incidence of complications following laparoscopic hernioplasty

AU - Phillips, E. H.

AU - Arregui, M.

AU - Carroll, B. J.

AU - Corbitt, J.

AU - Crafton, W. B.

AU - Fallas, M. J.

AU - Filipi, Charles

AU - Fitzgibbons, Robert Joseph

AU - Franklin, M. J.

AU - McKernan, B.

AU - Olsen, D.

AU - Ortega, A.

AU - Payne, J. H.

AU - Peters, J.

AU - Rodriguez, R.

AU - Rosette, P.

AU - Schultz, L.

AU - Seid, A.

AU - Sewell, R.

AU - Smoot, R.

AU - Toy, F.

AU - Waddell, R.

AU - Watson, S.

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N2 - Smaller individual series on the outcome of laparoscopic hernioplasty techniques have been reported. This study reports on the complications of 3,229 laparoscopic hernia repairs performed by the authors in 2,559 patients. The TAPP (transabdominal preperitoneal) technique was the most frequently performed: 1,944 (60%). The totally preperitoneal technique was performed 578 (18%) times. The IPOM (intraperitoneal onlay mesh) repair was performed 345 (11%) times. The plug-and-patch technique was used 286 (9%) times and simple closure of the hernia defect without mesh was used in 76 (2%) repairs. Overall, there were 336 (10%) complications: 17 (0.5%) major and 265 (8%) minor. There were 54 (1.6%) recurrences, with a mean follow-up of 22 months. The TAPP technique had 19 (1%) recurrences and 141 (7%) complications. There were four bowel obstructions in this subgroup from herniation of small bowel through the peritoneal closure and trocar sites. The totally preperitoneal technique had no recurrence and 60 (10%) complications. The IPOM group had 7 (2%) recurrences and 47 (14%) complications. The plug-and-patch technique had 26 (9%) recurrences and 24 (8%) complications. The simple closure of the internal ring had 2 (3%) recurrences and 10 (13%) complications. Laparoscopic hernioplasty is not without complications. Training, experience, and attention to technique will prevent some of these complications.

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