Effectiveness and Results of the Laparoscopic Total Extraperitoneal Repair (Tep) Method Applied in Inguinal Hernia Surgery: 10 Years of Experience

Year 2024, , 341 - 350, 19.09.2024

Nevin Sakoğlu , Mehmet Ali Gök , Osman Civil

https://doi.org/10.5798/dicletip.1552484

Abstract

Objective: Laparoscopic Total Extraperitoneal (TEP) hernia repair is frequently performed around the world. Ourgoal here was to evaluate preoperative radiologic findings, intraoperative and postoperative conditions of cases, together with their demographic characteristics, in unilateral, bilateral primary and recurrent cases undergoing hernia operation.
Methods: Between 2011 and 2021, 512 patients were operated for hernia with laparoscopic TEP method. Age, gender, BMI, hernia type, radiologic or peroperative type of hernia, defect size measured during surgery, hernia side, content of hernia, postoperative complications(seroma) of these patients were evaluated retrospectively. Additionally to the expressive statistical procedures (mean, standard deviation) in interpriting and calculating the input, the allocations of the variables were analyzed by the Shapiro-Wilk normality test. Also the independent t test, chisquare test, and logistic regression analysis used. The outcome spicked up were analyzed with p<0.05 meaningful level.
Results: Of 512 cases, 484 (94.53%) underwent unilateral laparoscopic TEP hernia repair and 28 (5.47%) underwent bilateral laparoscopic TEP hernia repair. 467 of the cases were primary and 45 were recurrent. The average ages was47.28±12.41 years. 321 were men (62.70%) and 191 were women (37.30%). The differentiation related to allocation of BMI of Recurrence(-) and Recurrence(+) groups was meaningful (p=0.019). The distinction absolutely was not remarkable between the side allocation of the Recurrence(-) with Recurrence(+) groups(p = 0.217). The presence of indirect hernia (ID) was mostly seen in the Recurrence(+) group(p=0.014). The mean defect size(mm) of the Recurrence(+) group was measured statistically more than the Recurrence(-) group (p=0.015).
Conclusion: The TEP technique is sufficient when performed by experienced surgeons in primary and recurrent cases.

Keywords

laparoscopy, inguinalhernia, TEP, unilateral, bilateral, recurrence

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