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Updated: Apr 18, 2026
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
A 10-year experience of totally extraperitoneal endoscopic repair for adult inguinal hernia
Hiroki Toma1, Toru Eguchi2, Shuichi Toyoda2
1Department of Surgery, Harasanshin Hospital, Taihakucho, 1-10 Hakataku, Fukuoka, Japan. toma@surg1.med.kyushu-u.ac.jp.
Purpose:
Laparoscopic surgery is fast becoming the treatment of choice for inguinal hernia. By reviewing our 10-year experience of performing totally extraperitoneal repair (TEP), we sought to establish its clinical significance in the treatment of adult inguinal hernia.
Methods:
We reviewed retrospectively the clinical records of patients who underwent TEP for adult inguinal hernia between January 2003 and December 2012.
Results:
None of the 303 patients with adult primary or recurrent inguinal hernia in our study needed TEP converted to other procedures or suffered serious complications during the procedure. A significant difference was noted in the operation time between direct (n = 32) vs indirect (n = 128) hernias in the primary unilateral inguinal hernia group (91 ± 27 vs 80 ± 32 min, p = 0.033) and between direct/direct (n = 31) vs indirect/indirect (n = 24) hernias (136 ± 58 vs 89 ± 24 min, p = 0.01) in the primary bilateral inguinal hernia group. The only postoperative complications recorded were four cases of hernia recurrence (1.3 %) and one case of chronic pain (0.3 %).
Conclusions:
The results obtained for TEP over 10 years support this as a promising procedure for the treatment of adult inguinal hernia.
