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Laparoscopic transperitoneal hernia repair (TAPP) in emergency: long-term follow-up in a high volume centre

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Abstract

Purpose

Aim of this study was to analyse feasibility, safety and effectiveness of laparoscopic transperitoneal hernia repair (TAPP) approach to inguinal hernias in the emergency setting, with a longer follow-up than the studies present in literature.

Methods

We retrospectively analysed all patients who underwent emergency TAPP hernia repair in San Marco Hospital (Zingonia, Italy), from September 2010 to June 2020. A prospectively collected database of 685 consecutive TAPP hernia repair was reviewed. Feasibility and safety were evaluated through operative time, conversion rate, perioperative mortality, morbidity and prosthesis infection rate. Effectiveness was assessed by recurrence and complication rate, acute (during admission) and chronic (during follow-up) pain by Visual Analogic Scale (VAS), and recovery to normal activity in a long-term follow-up (mean period 1718 days).

Results

The final study group included 47 patients. The mean age was 59.6 years (range 22–89), 29 patients were male and 18 were female. The mean operation time was 64 min. Two cases were converted to open approach (4%). In four cases bowel resection became necessary (8.5%). Appendicectomy and omentectomy occurred once and twice, respectively (2% and 4%), and orchiectomy was required in two patients (4%). Seroma was the only postoperative complication that we registered in four patients. During a mean follow-up period of 1718 days, there was no recurrence of the hernia or other complications. Five patients referred mild occasional groin pain (VAS < 3), with quick relief without taking any pain killers.

Conclusion

TAPP approach is a safe, feasible and effective therapeutic option for groin hernias in emergency setting. No recurrence or severe complications were reported in over 4 years of follow-up.

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Data availability

The data sets supporting the results of this article are included within the article in the additional files.

References

  1. Perko Z, Rakić M, Pogorelić Z, Družijanić N, Kraljević J (2011) Laparoscopic transabdominal preperitoneal approach for inguinal hernia repair: a five-year experience at a single center. Surg Today 41(2):216–221. https://doi.org/10.1007/s00595-010-4266-4

    Article  PubMed  Google Scholar 

  2. HerniaSurge Group (2018) International guidelines for groin hernia management. Hernia 22(1):1–165

    Article  Google Scholar 

  3. Scheuermann U, Niebisch S, Lyros O, Jansen-Winkeln B, Gockel I (2017) Transabdominal Preperitoneal (TAPP) versus Lichtenstein operation for primary inguinal hernia repair—a systematic review and meta-analysis of randomized controlled trials. BMC Surg 17(1):55

    Article  Google Scholar 

  4. Köckerling F, Schug-Pass C (2014) Tailored approach in inguinal hernia repair—decision tree based on the guidelines. Front Surg 20(1):20. https://doi.org/10.3389/fsurg.2014.00020

    Article  Google Scholar 

  5. Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ et al (2011) Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal Hernia [International Endo hernia Society (IEHS)]. Surg Endosc 25:2773–2843. https://doi.org/10.1007/s00464-011-1799-6

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Poelman MM, vanden Heuvel B, Deelder JD, Abis GSA, Beudeker N, Bittner R et al (2013) EAES Consensus Development Conference on endoscopic repair of groin hernias. Surg Endosc 27:3505–3519. https://doi.org/10.1007/s00464-013-30001-9

    Article  CAS  PubMed  Google Scholar 

  7. Deeba S, Purkayastha S, Paraskevas P, Athanasiou T, Darzi A, Zaachiarakis E (2009) Laparoscopic approach to incarcerated and strangulated inguinal hernias. JSLS 13:327–331

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Siow SL, Mahendran HA, Hardin M, Chea CH, Nik Azim NA (2013) Laparoscopic transabdominal approach and its modified technique for incarcerated scrotal hernias. Asian J Surg 36(2):64–68

    Article  Google Scholar 

  9. Legnani GL, Rasini M, Pastori S, Sarli D (2008) Laparoscopic trans-peritoneal hernioplasty (TAPP) for the acute management of strangulated inguino-crural hernias: a report of nine cases. Hernia 12(2):185–188

    Article  CAS  Google Scholar 

  10. Liu J, Shen Y, Nie Y, Zhao X, Wang F, Chen J (2021) If laparoscopic technique can be used for treatment of acutely incarcerated/strangulated inguinal hernia? World J Emerg Surg 16(1):5. https://doi.org/10.1186/s13017-021-00348-1

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  11. Leibl BJ, Schmedt CG, Kraft K, Kraft B, Bittner R (2001) Laparoscopic transperitoneal hernia repair of incarcerated hernias: is it feasible? Surg Endosc 15:1179–1183

    Article  CAS  Google Scholar 

  12. Rebuffat C, Galli A, Scalambra MS, Balsamo F (2006) Laparoscopic repair of strangulated hernias. Surg Endosc 20(1):131–134. https://doi.org/10.1007/s00464-005-0171-0

    Article  CAS  PubMed  Google Scholar 

  13. Mancini R, Pattaro G, Spaziani E (2019) Laparoscopic trans-abdominal preperitoneal (TAPP) surgery for incarcerated inguinal hernia repair. Hernia 23(2):261–266

    Article  CAS  Google Scholar 

  14. Shuo Y, Guangyong Z, Cujhong J, Jinxin C, Yilin Z, Yingmo S, Minggang W (2016) Transabdominal preperitoneal laparoscopic approach for incarcerated inguinal hernia repair. Medicine (Baltimore) 95(52):e5686

    Article  Google Scholar 

  15. Neumayer L, Giobbie-Hurder A, Jonasson O et al (2004) Open mesh versus laparoscopic mesh repair of inguinal hernia. N Engl J Med 350:1819–1827

    Article  CAS  Google Scholar 

  16. McCormack K, Scott NW, Go PM, Ross S, Grant AM, EU Hernia Trialists Collaboration (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD001785

    Article  PubMed  PubMed Central  Google Scholar 

  17. Hallén M, Bergenfelz A, Westerdahl J (2008) Laparoscopic extraperitoneal inguinal hernia repair versus open mesh repair: longterm follow-up of a randomized controlled trial. Surgery 143:313–317

    Article  Google Scholar 

  18. Morales-Conde S, Socas M, Fingerhut A (2012) Endoscopic surgeons’ preferences for inguinal hernia repair: TEP, TAPP, or OPEN. Surg Endosc 26(9):2639–2643. https://doi.org/10.1007/s00464-012-2247-y

    Article  PubMed  Google Scholar 

  19. Watson SD, Saye W, Hollier PA (1993) Combined laparoscopic incarcerated herniorrhaphy and small bowel resection. Surg Laparosc Endosc 3:106–108

    CAS  PubMed  Google Scholar 

  20. Poelman MM, van den Heuvel B, Deelder JD, Abis GS, Beudeker N, Bittner R et al (2013) EAES Consensus Development Conference on endoscopic repair of groin hernias. Surg Endosc 27:3505–3519

    Article  CAS  Google Scholar 

  21. Jagad RB, Shah J, Patel GR (2009) The laparoscopic trans peritoneal approach for irreducible inguinal hernias: perioperative outcome in four patients. J Minim Access Surg 5(2):31–34

    Article  Google Scholar 

  22. Scierski A (2004) Laparoscopic operations of incarcerated inguinal and femoral hernias. Wiad Lek 57:245–248

    PubMed  Google Scholar 

  23. Ishihara T, Kubota K, Eda N, Ishibashi S, Haraguchi Y (1996) Laparoscopic approach to incarcerated inguinal hernia. Surg Endosc 10:1111–1113. https://doi.org/10.1007/s004649900254

    Article  CAS  PubMed  Google Scholar 

  24. Andresen K, Fenger AQ, Burcharth J, Pommergaard HC, Rosenberg J (2017) Mesh fixation methods and chronic pain after transabdominal pre-peritoneal (TAPP) inguinal hernia surgery: a comparison between fibrin sealant and tacks. Surg Endosc 31(10):4077–4084

    Article  Google Scholar 

  25. Harsløf S, Krum-Møller P, Sommer T, Zinther N, Wara P, Friis- Andersen H (2018) Effect of fixation devices on post-operative pain after laparoscopic ventral hernia repair: a randomized clinical trial of permanent tacks, absorbable tacks, and synthetic glue. Langenbecks Arch Surg 403(4):529–537

    Article  Google Scholar 

  26. Phillips AW, Viswanath YKS, Burns JK, Hall CEJ, Horgan AF (2014) Use of fibrin glue for fixation of mesh and approximation of peritoneum in transabdominal pre-peritoneal (TAPP) inguinal hernia repair: technical feasibility and early surgical outcomes. Surg Laparosc Endosc Percutan Tech 24(2):e43–e45

    Article  Google Scholar 

  27. Wilson P, Hickey L (2019) Laparoscopic transabdominal pre-peritoneal (TAPP) groin hernia repair using n-butyl-2-cyanoacrylate (Liquiband®Fix8TM) for mesh fixation and peritoneal closure: learning experience during introduction into clinical practice. Hernia 23(3):601–661

    Article  CAS  Google Scholar 

  28. Lovisetto F, Zonta S, Rota E, Mazzilli M, Bardone M, Bottero L, Faillace G, Longoni M (2007) Use of human fibrin glue (Tissucol) versus staples for mesh fixation in laparoscopic transabdominal pre-peritoneal hernioplasty: a prospective, randomized study. Ann Surg 245(2):222–231

    Article  Google Scholar 

  29. Ielpo B, Nuñez J, Ferri V, Silva J, Quijano Y, Vicente E, Caruso R, Giuliani A, Pellino G (2021) Laparoscopic inguinal hernia repair: cost-effectiveness analysis of trend modifications of the technique. Updates Surg. https://doi.org/10.1007/s13304-021-01005-7

    Article  PubMed  PubMed Central  Google Scholar 

  30. Ferzli G, Shapiro K, Chaudry G, Patel S (2004) Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia. Surg Endosc 18:228–231

    Article  CAS  Google Scholar 

  31. Saggar VR, Sfrangi R (2005) Endoscopic totally extraperitoneal repair of incarcerated inguinal hernia. Hernia 9:120–124

    Article  CAS  Google Scholar 

  32. Peña ME, Dreifuss NH, Schlottmann F, Sadava EE (2019) Could long-term follow-up modify the outcomes after laparoscopic TAPP? A 5-year retrospective cohort study. Hernia 23(4):693–698. https://doi.org/10.1007/s10029-019-01953-5

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy

    A. A. G. Zanoni, A. Delcarro, F. Ciccarese, R. Villa, A. Oldani, R. Giorgi, C. Rubicondo, M. Bonaldi, G. Cesana, M. Uccelli, S. De Carli, A. Ismail, D. Ferrari & S. Olmi

  2. School of Medicine, Vita-Salute San Raffaele University, Milan, Italy

    S. Olmi

Authors
  1. A. A. G. Zanoni
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  2. A. Delcarro
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  3. F. Ciccarese
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  4. R. Villa
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  5. A. Oldani
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  6. R. Giorgi
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  8. M. Bonaldi
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  9. G. Cesana
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  11. S. De Carli
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  13. D. Ferrari
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Correspondence to A. A. G. Zanoni.

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All authors declare that they have no conflict of interest and no funding.

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Approval from the institutional review board was not required for this study.

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The present study has been conducted in accordance with the ethical standards of the Institutionals and National responsible committees.

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Informed consent was obtained from all individual participants included in the study.

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Zanoni, A.A.G., Delcarro, A., Ciccarese, F. et al. Laparoscopic transperitoneal hernia repair (TAPP) in emergency: long-term follow-up in a high volume centre. Hernia 26, 1063–1068 (2022). https://doi.org/10.1007/s10029-021-02516-3

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  • DOI: https://doi.org/10.1007/s10029-021-02516-3

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