J Korean Surg Soc.  2009 Sep;77(3):189-194. 10.4174/jkss.2009.77.3.189.

Comparison of Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair and Tension-Free Herniorrhaphy Using Perfix(R): Short-Term Follow-Up Results

• Han MS
• Lee SM
• Choi SI
• Joo SH
• Hong SW

• KMID: 2004218
• DOI: http://doi.org/10.4174/jkss.2009.77.3.189

Abstract

PURPOSE
Tension-free open repair for inguinal hernia is a safe and popular operation with a high success rate, but laparoscopic techniques are fairly recent. Comparing the tension-free herniorrhaphy using mesh and plug (Perfix(R)) with laparoscopic totally extraperitoneal (TEP) hernia repair is the aim of this study. METHODS: We compared two groups of patients in which 39 patients with inguinal hernias were treated by tension-free repair using Perfix(R) (group P) and 39 patients were treated by laparoscopic TEP repair (group T). Information about operation time, length of hospital stay, use of analgesics (pain), recurrence, complications, cosmetic satisfaction, medical costs, and time until return to work were evaluated retrospectively. RESULTS: Mean operation time, postoperative hospital stay, and the time until return to work were 101+/-33 min, 1.9+/-1.0 days, 11+/-8 days in group T, 86+/-28 min, 2.0+/-0.8 days, 12+/-10 days in group P. Postoperative complications, medical costs and the cosmetic satisfaction were 20.5%, 821,048 won, 94% (32/24) in group T, 7.7%, 692,149 won, 79% (19/24) in group P. There was difference between the two groups but not significant statistically. Group P used more analgesics than group T, significantly (P<0.05). There was only 1 recurrence in group T. CONCLUSION: Although we need more experience in patients with inguinal hernias, laparoscopic TEP repair may be a secure and feasible procedure compared to tension-free repair using Perfix(R).

Keyword

Laparoscopic hernia repair; Totally extraperitoneal approach; Tension free hernia repair

MeSH Terms

Analgesics
Cosmetics
Follow-Up Studies
Hernia, Inguinal
Herniorrhaphy
Humans
Length of Stay
Postoperative Complications
Pyrazines
Recurrence
Retrospective Studies
Return to Work
Analgesics
Cosmetics
Pyrazines

Figure

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  Fig. 1 (A) Polyester mesh for totally extraperiotoneal approach (Parietex®, Sofradim, Formans, France). (B) Polyprophylene mesh and plug for tension free repair (Perfix®, C.R. Bard Inc., Murray Hill, USA).

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