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Laparoscopic hernia: umbilical-pubis length versus technical difficulty.

Alberto Meyer1, Pierre Blanc2, Radwan Kassir3

  • 1Department of Surgery, Professor Edmundo Vasconcelos Hospital, São Paulo, Brazil.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|November 14, 2014
PubMed
Summary
This summary is machine-generated.

The umbilical-pubic distance does not impact the totally extraperitoneal (TEP) laparoscopic hernia repair. This study found no correlation between this measurement and the TEP procedure

Keywords:
HerniorrhaphyInguinal herniaLaparoscopy

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Area of Science:

  • Minimally invasive surgery
  • Surgical techniques
  • Hernia repair

Background:

  • Totally extraperitoneal (TEP) laparoscopic hernia repair presents challenges due to limited workspace and altered anatomical landmark perception.
  • The umbilical-pubic (UP) distance is a factor that may influence mesh size in TEP procedures.

Purpose of the Study:

  • To investigate whether the umbilical-pubic (UP) distance affects the totally extraperitoneal (TEP) technique for inguinal hernia repair.
  • To determine if UP distance influences surgical outcomes in TEP procedures.

Main Methods:

  • Prospective examination of 95 inguinal hernia repairs in 70 patients using the TEP technique between January 2001 and May 2011.
  • Measurement of umbilical-pubic (UP) distance, along with recording of patient demographics, hernia type, operative time, hospital stay, and complications.

Main Results:

  • The average umbilical-pubic (UP) distance was 14 cm, with an average BMI of 25 kg/m2.
  • Seventy percent of patients were treated as outpatients, with a simple postoperative course and no early recurrence.
  • The umbilical-pubic (UP) distance did not demonstrate a significant influence on the TEP procedure.

Conclusions:

  • The umbilical-pubic (UP) distance does not appear to affect the execution or outcomes of the totally extraperitoneal (TEP) laparoscopic hernia repair using three midline trocars.
  • This finding suggests that UP distance is not a critical factor for successful TEP inguinal hernia repair.