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Laparoscopic versus open hernia repair in patients with incarcerated inguinal hernia
Insights
Laparoscopic hernioplasty (TAPP) is a safe and effective surgical option for incarcerated inguinal hernias. This approach offers a shorter hospital stay compared to open repair, with fewer postoperative complications.
Area of Science:
- Minimally Invasive Surgery
- Surgical Gastroenterology
- Abdominal Wall Reconstruction
Background:
- Incarcerated inguinal hernias are rarely treated with laparoscopic surgery.
- Laparoscopic transabdominal preperitoneal (TAPP) hernioplasty offers a minimally invasive alternative.
- Evaluating TAPP for incarcerated inguinal hernias is crucial.
Purpose of the Study:
- To assess the safety and benefits of laparoscopic hernioplasty (TAPP).
- To compare perioperative and postoperative outcomes of TAPP versus open repair for incarcerated inguinal hernias.
Main Methods:
- Retrospective clinical study.
- Comparison of laparoscopic TAPP and open hernia repair outcomes.
- Inclusion of adult patients with incarcerated inguinal hernias (2014-2018).
Main Results:
- Shorter operative time in the laparoscopic group (69.5 vs 82.2 min).
- Significantly shorter hospital stay for TAPP (3.45 vs 8.5 days, p=0.010).
- Fewer postoperative complications in the TAPP group (0.0% vs 40%).
Conclusions:
- Laparoscopic hernioplasty (TAPP) is a safe and effective technique.
- TAPP demonstrates advantages in reduced hospital stay and complication rates.
- Laparoscopic approach is recommended for incarcerated inguinal hernias.
Introduction:
Laparoscopic approach is employed very rarely in the treatment of patients with incarcerated inguinal hernia. The aim of the present study was to evaluate the safety and benefits of laparoscopic hernioplasty (TAPP) in the treatment of incarcerated inguinal hernia.
Methods:
It was a retrospective clinical study focused on comparison of perioperative and postoperative outcomes of laparoscopic and open hernia repair of incarcerated inguinal hernia. All adult patients undergoing surgery for incarcerated inguinal hernia at the University Hospital Ostrava between 2014 and 2018 were included in the study.
Results:
In total, 31 patients were enrolled into the study (20 patients with open hernia repair and 11 patients with laparoscopic transabdominal preperitoneal hernioplasty [TAPP]). Operative time was shorter in the laparoscopic group (69.5 vs 82.2 min, p=0.444); length of hospital stay was significantly shorter in the TAPP group (3.45 vs 8.5 days, p=0.010). Postoperative complications were more frequent in the open hernia repair group (40% vs 0.0%, p=0.134); the difference was not statistically significant.
Conclusion:
Laparoscopic hernioplasty provides a safe and effective operating technique for patients with incarcerated inguinal hernia.
