Extraperitoneal Laparoscopic Approach in Inguinal Hernia-The Ideal Solution?

Area of Science:

• Surgical pathology
• Minimally invasive surgery
• Hernia repair

Background:

• Inguinal hernia repair is a common surgical procedure.
• Laparoscopic approaches have been used for over 20 years.
• The choice between intra- and extraperitoneal laparoscopic techniques remains debated.

Purpose of the Study:

• To analyze the feasibility and safety of the extraperitoneal approach for inguinal hernia repair.
• To evaluate the routine use of the extraperitoneal approach by a specific surgical team.
• To determine if the extraperitoneal approach is a safe surgical option.

Main Methods:

• Retrospective study of 493 patients undergoing inguinal hernia repair.
• Data collected between January 2012 and March 2022.
• Procedures included laparoscopic total extraperitoneal (TEP), transabdominal intraperitoneal (TAPP), and open Lichtenstein repair.

Main Results:

• 95.1% of patients underwent laparoscopic TEP repair.
• No intraoperative complications were recorded.
• Postoperative complications occurred in 10.23% of extraperitoneal cases, with a 0.40% recurrence rate after TEP.

Conclusions:

• The laparoscopic total extraperitoneal (TEP) approach is feasible and safe for selected inguinal hernia cases.
• TEP demonstrates low complication and recurrence rates.
• The findings support the routine use of TEP by experienced surgical teams.