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[Laparoscopic hernioplasty by transabdominal preperitoneal approach]
O Wingenbach1, H Waleczek, J Kozianka
1Chirurgische Abteilung, St. Anna Hospital Herne Ausbildungsklinik der privaten Universität Witten/Herdecke. chirurgieannaherne@t.online.de
Zentralblatt Fur Chirurgie
|October 16, 2004
Summary
The transabdominal preperitoneal (TAPP) hernioplasty shows excellent outcomes for inguinal hernia repair, with low recurrence and complication rates. However, further investigation is needed into the rare occurrence of postoperative pain during sexual activity.
Area of Science:
- Surgical Innovation
- Minimally Invasive Surgery
- Hernia Repair
Background:
- The transabdominal preperitoneal (TAPP) hernioplasty is gaining patient and practitioner acceptance.
- Objective evaluation requires assessing subjective patient comfort alongside traditional surgical metrics.
Purpose of the Study:
- To evaluate the outcomes of TAPP hernioplasty.
- To assess patient quality of life and comfort post-surgery.
- To compare TAPP with alternative hernia repair methods.
Main Methods:
- Retrospective analysis of patient documentation (medical and operative reports).
- Clinical examination of patients post-TAPP operation.
- Patient interviews regarding quality of life and specific post-operative complaints.
Main Results:
- 267 inguinal hernia repairs in 204 patients between 1995-1998.
- Recurrence rate: 2.5%; major complications: 4.4%.
- Postoperative pain syndrome: 1.3%; nervous disorders: 3.5%; other subjective complaints: 19%.
- Median return to sexual intimacy: 2 weeks; 3.9% reported long-lasting pain during intercourse.
Conclusions:
- TAPP hernioplasty demonstrates excellent results in the studied cohort, comparable to other methods.
- Postoperative pain during sexual activity is a novel finding requiring further investigation.