Feasibility of right-sided total extraperitoneal procedure for inguinal hernia repair after appendectomy: a prospective cohort studyReport as inadecuate




Feasibility of right-sided total extraperitoneal procedure for inguinal hernia repair after appendectomy: a prospective cohort study - Download this document for free, or read online. Document in PDF available to download.

Surgical Endoscopy

, Volume 23, Issue 8, pp 1754–1758

First Online: 05 December 2008Received: 24 June 2008Accepted: 24 September 2008

Abstract

BackgroundTotally extraperitoneal TEP endoscopic hernia surgery is increasingly popular since it is associated with little postoperative pain and with early return to work. Previous appendectomy may preclude preperitoneal dissection in patients with right-sided hernias. The feasibility of TEP surgery in these patients was the subject of the present study.

MethodsBetween January 2005 and February 2007 all consecutive patients undergoing TEP surgery were included in a prospective cohort study. The study group consisted of patients with right-sided and bilateral hernias. Operative times, conversions, complication rates, and return to daily activities were recorded. Patients were divided into two groups according to previous appendectomy.

ResultsA total of 462 patients with right-sided hernias underwent TEP surgery: 421 patients without previous abdominal surgery group 1 and 41 patients with previous appendectomy group 2. The conversion rate was significantly higher in group 2: four patients 10% were converted to open Lichtenstein repair versus five 1% in group 1 p = 0.005. However, we found no significant differences in complication rate, operative time, and return to daily activities.

ConclusionsA right-sided or bilateral TEP procedure may be performed safely in patients after previous appendectomy. Despite a higher conversion rate, the vast majority of patients can be operated endoscopically.

KeywordsTEP Previous surgery Appendectomy  Download fulltext PDF



Author: J. W. M. Elshof - F. Keus - J. P. J. Burgmans - G. J. Clevers - P. H. P. Davids - T. van Dalen

Source: https://link.springer.com/article/10.1007/s00464-008-0187-3



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