Simultaneous bilateral laparoscopic inguinal hernia repair: An analysis of 1336 consecutive cases at a single center

Transplant Task Force of The Renal Network, Inc.

Research output: Contribution to journalArticle

Abstract

Background: We compare the use of unilateral and simultaneous bilateral laparoscopic hernioplasty [transabdominal preperitoneal patch (TAPP)] Method: We employed a prospective consecutive single-center trial lasting from April 1993 to December 2000. Results: In our study, 5524 consecutive patients underwent 6860 laparoscopic hernia repairs. The median age in group A (unilateral repair, n = 4188) was 58 years (16-94 years), and that in group B (simultaneous bilateral repair, n = 1336) was 60 years (19-97 years) in (simultaneous bilateral repair, n = 1336). Morbidity in group A was 3.2% (135/4188) with a 0.6% reoperation rate (24/4188); in group B morbidity was 5.0% (67/1336) with a 1.4% reoperation rate. (19/1336). Morbidity and reoperation rates showed no statistically significant difference between the two groups in relation to number of repairs in group B. After a median 24-month clinical follow-up period (1-84 months) (follow-up rate 93.1%) 38 recurrences were observed in group A (0.9%) and 17 in group B (0.6%; 17/2672) (p = 0.2668). Median time off work was 14 days after unilateral (2-63 days) and 17 days after bilateral repair (3- 100 days) (p = 0.1359). Pain levels (numerical analogue scale) and incidence of persistent inguinal and scrotal pain are not higher after bilateral repair. Conclusion: Compared to unilateral repair, bilateral simultaneous laparoscopic hernia repair (TAPP) is safe, comfortable for patients, and cost-effective, without increased morbidity or recurrence risk. Bilateral inguinal hernia is an ideal indication for endoscopic transabdominal repair.

Original languageEnglish (US)
Pages (from-to)240-244
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Volume16
Issue number2
DOIs
StatePublished - 2002
Externally publishedYes

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Inguinal Hernia
Herniorrhaphy
Reoperation
Morbidity
Recurrence
Pain
Groin
Age Groups
Costs and Cost Analysis
Incidence

Keywords

  • Endoscopic surgery
  • Laparoscopy
  • Mesh
  • Pain

ASJC Scopus subject areas

  • Surgery

Cite this

Simultaneous bilateral laparoscopic inguinal hernia repair : An analysis of 1336 consecutive cases at a single center. / Transplant Task Force of The Renal Network, Inc.

In: Surgical Endoscopy and Other Interventional Techniques, Vol. 16, No. 2, 2002, p. 240-244.

Research output: Contribution to journalArticle

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title = "Simultaneous bilateral laparoscopic inguinal hernia repair: An analysis of 1336 consecutive cases at a single center",
abstract = "Background: We compare the use of unilateral and simultaneous bilateral laparoscopic hernioplasty [transabdominal preperitoneal patch (TAPP)] Method: We employed a prospective consecutive single-center trial lasting from April 1993 to December 2000. Results: In our study, 5524 consecutive patients underwent 6860 laparoscopic hernia repairs. The median age in group A (unilateral repair, n = 4188) was 58 years (16-94 years), and that in group B (simultaneous bilateral repair, n = 1336) was 60 years (19-97 years) in (simultaneous bilateral repair, n = 1336). Morbidity in group A was 3.2{\%} (135/4188) with a 0.6{\%} reoperation rate (24/4188); in group B morbidity was 5.0{\%} (67/1336) with a 1.4{\%} reoperation rate. (19/1336). Morbidity and reoperation rates showed no statistically significant difference between the two groups in relation to number of repairs in group B. After a median 24-month clinical follow-up period (1-84 months) (follow-up rate 93.1{\%}) 38 recurrences were observed in group A (0.9{\%}) and 17 in group B (0.6{\%}; 17/2672) (p = 0.2668). Median time off work was 14 days after unilateral (2-63 days) and 17 days after bilateral repair (3- 100 days) (p = 0.1359). Pain levels (numerical analogue scale) and incidence of persistent inguinal and scrotal pain are not higher after bilateral repair. Conclusion: Compared to unilateral repair, bilateral simultaneous laparoscopic hernia repair (TAPP) is safe, comfortable for patients, and cost-effective, without increased morbidity or recurrence risk. Bilateral inguinal hernia is an ideal indication for endoscopic transabdominal repair.",
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author = "{Transplant Task Force of The Renal Network, Inc.} and Alexander, {George Caleb} and Sehgal, {Ashwini R.} and George Aronoff and Jim Callahan and Bridget Carson and Jeannette Cain and Rick Coffin and Nancy Durance and Brian Haag and Bruce Lucas and Akinlolu Ojo and Rosemary Ouseph and Susie Stark and Roseann Sweda and Linda Ulerich and Tom Waid and Jay Wish and Steve Woodle",
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T1 - Simultaneous bilateral laparoscopic inguinal hernia repair

T2 - An analysis of 1336 consecutive cases at a single center

AU - Transplant Task Force of The Renal Network, Inc.

AU - Alexander, George Caleb

AU - Sehgal, Ashwini R.

AU - Aronoff, George

AU - Callahan, Jim

AU - Carson, Bridget

AU - Cain, Jeannette

AU - Coffin, Rick

AU - Durance, Nancy

AU - Haag, Brian

AU - Lucas, Bruce

AU - Ojo, Akinlolu

AU - Ouseph, Rosemary

AU - Stark, Susie

AU - Sweda, Roseann

AU - Ulerich, Linda

AU - Waid, Tom

AU - Wish, Jay

AU - Woodle, Steve

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AB - Background: We compare the use of unilateral and simultaneous bilateral laparoscopic hernioplasty [transabdominal preperitoneal patch (TAPP)] Method: We employed a prospective consecutive single-center trial lasting from April 1993 to December 2000. Results: In our study, 5524 consecutive patients underwent 6860 laparoscopic hernia repairs. The median age in group A (unilateral repair, n = 4188) was 58 years (16-94 years), and that in group B (simultaneous bilateral repair, n = 1336) was 60 years (19-97 years) in (simultaneous bilateral repair, n = 1336). Morbidity in group A was 3.2% (135/4188) with a 0.6% reoperation rate (24/4188); in group B morbidity was 5.0% (67/1336) with a 1.4% reoperation rate. (19/1336). Morbidity and reoperation rates showed no statistically significant difference between the two groups in relation to number of repairs in group B. After a median 24-month clinical follow-up period (1-84 months) (follow-up rate 93.1%) 38 recurrences were observed in group A (0.9%) and 17 in group B (0.6%; 17/2672) (p = 0.2668). Median time off work was 14 days after unilateral (2-63 days) and 17 days after bilateral repair (3- 100 days) (p = 0.1359). Pain levels (numerical analogue scale) and incidence of persistent inguinal and scrotal pain are not higher after bilateral repair. Conclusion: Compared to unilateral repair, bilateral simultaneous laparoscopic hernia repair (TAPP) is safe, comfortable for patients, and cost-effective, without increased morbidity or recurrence risk. Bilateral inguinal hernia is an ideal indication for endoscopic transabdominal repair.

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KW - Mesh

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