Is unilateral laparoscopic TEP inguinal hernia repair a job half done? The case for bilateral repair.

Surgical Endoscopy
Pawanindra LalVinod K Ramteke

Abstract

Bilateral laparoscopic totally extraperitoneal (TEP) repair of unilateral hernia is conspicuous in published literature by its absence. There are no studies or data on the feasibility, advantages or disadvantages of bilateral repair in all cases or in any subset of patients with unilateral primary inguinal hernia. The objective of this study is to investigate the feasibility of bilateral laparoscopic exploration for all unilateral cases followed by laparoscopic TEP in all cases and to compare complications, recurrence rates, postoperative pain, patient satisfaction, and return to work retrospectively with a similar number of age-matched retrospective controls. One hundred fifty TEP operations were performed in 75 patients (group A) prospectively and were compared with 75 unilateral TEP operations (group B) in age-matched controls done previously by the same surgeon. All cases were performed under general anesthesia, and TEP repair was performed using three midline ports. All uncomplicated patients were discharged at 24 h, in keeping with departmental policy. Of 75 patients (group A), 25 (33.3%) were clinically diagnosed with bilateral hernia and the rest (50, 66.66%) with unilateral hernia. The distribution of the 25 bilateral ...Continue Reading

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Citations

Jan 25, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B ZendejasD R Farley
Jan 9, 2013·International Surgery·Muhammad R S SiddiquiYuen Soon
May 28, 2013·Surgical Endoscopy·Baukje van den HeuvelBoudewijn J Dwars
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Feb 21, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C-C ChiangY-C Hsu
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