TY - JOUR
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, G. 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
PY - 2002
Y1 - 2002
N2 - 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.
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.
KW - Endoscopic surgery
KW - Laparoscopy
KW - Mesh
KW - Pain
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U2 - 10.1007/s00464-001-8184-9
DO - 10.1007/s00464-001-8184-9
M3 - Article
C2 - 11967671
AN - SCOPUS:0036151648
SN - 0930-2794
VL - 16
SP - 240
EP - 244
JO - Surgical Endoscopy and Other Interventional Techniques
JF - Surgical Endoscopy and Other Interventional Techniques
IS - 2
ER -