Perioperative outcome of unilateral versus bilateral inguinal hernia repairs in TAPP technique: analysis of 15,176 cases from the Herniamed Registry

Surgical Endoscopy
D A JacobF Köckerling

Abstract

Following repair of a unilateral inguinal hernia, there is a risk of 1 % per year of onset of an inguinal hernia on the other side. Comparison of bilateral with unilateral TAPP operation in a high-volume center found that morbidity and reoperation rates were only marginally higher for bilateral TAPP operation. Some authors are calling for prophylactic operation of the contralateral side. Between September 2009 and April 2013, data were entered into the Herniamed Registry on 15,176 patients who had undergone TAPP operation. Of these patients, 10,887 had been operated on because of a unilateral (71.7 %) and 4289 because of a bilateral (28.3 %) inguinal hernia. A significant difference was noted in the rate of postoperative complications occurring within 30 days, which was 4.9 % for bilateral compared with 3.9 % for unilateral inguinal hernia (p = 0.009). The postoperative complications necessitated reoperation in 0.9 % of patients after unilateral and in 1.9 % of patients after bilateral inguinal hernia repair, thus attesting to the significantly higher risk presented by bilateral inguinal hernia repair (p = <0.001).Multivariate analysis confirmed the highly significant influence of bilateral TAPP on increased reoperation rates d...Continue Reading

References

Jul 29, 2009·Hernia : the Journal of Hernias and Abdominal Wall Surgery·M P SimonsM Miserez
Apr 2, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·K J GriffinA M Harris
Jan 25, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B ZendejasD R Farley
Mar 6, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·B StechemesserF Köckerling
May 28, 2013·Surgical Endoscopy·M M PoelmanH J Bonjer
May 28, 2013·Surgical Endoscopy·Baukje van den HeuvelBoudewijn J Dwars

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Citations

Jan 14, 2018·Hernia : the Journal of Hernias and Abdominal Wall Surgery·UNKNOWN HerniaSurge Group
Jul 9, 2020·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·Niels JohansenThue Bisgaard
Aug 21, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A Ochoa-HernandezS Huerta
Oct 12, 2017·Arquivos Brasileiros De Cirurgia Digestiva : ABCD = Brazilian Archives of Digestive Surgery·Juliana Mika KatoWellington Andraus
Jan 31, 2017·Innovative Surgical Sciences·Ferdinand Köckerling
Jun 24, 2019·Surgery·Ariel W KnightCornelius A Thiels
Oct 1, 2021·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N E SamalaviciusL Staib

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Methods Mentioned

BETA
prophylactic surgery

Software Mentioned

SAS

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