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Hu Y, Zhang Z, Wang F, Qiu X. Comparison of modified tumescent and conventional laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective clinical study. J Int Med Res 2024; 52:3000605231220789. [PMID: 38242865 PMCID: PMC10799600 DOI: 10.1177/03000605231220789] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Accepted: 11/23/2023] [Indexed: 01/21/2024] Open
Abstract
OBJECTIVE Laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair poses certain challenges to less experienced surgeons. This study was performed to compare the clinical outcomes of modified tumescent laparoscopic TAPP (MT-TAPP) inguinal hernia repair versus conventional laparoscopic TAPP (CL-TAPP) inguinal hernia repair. METHODS We retrospectively analyzed the perioperative data of patients with inguinal hernias who underwent either MT-TAPP repair (n = 57) or CL-TAPP repair (n = 54) at the General Surgery Department of Nanjing Yimin Hospital from November 2019 to June 2023. RESULTS The durations of the total operation and the preperitoneal space dissection were shorter in the MT-TAPP than CL-TAPP group. The estimated blood loss volume was lower in the MT-TAPP than CL-TAPP group. The visual analogue scale scores recorded at the 12- and 24-hour postoperative time points showed significantly greater reductions in the MT-TAPP than CL-TAPP group. CONCLUSIONS Using liquid injection and gauze dissection is both safe and practical. This technique results in a shortened total operation time, less time spent on preperitoneal space dissection, decreased estimated blood loss, and less severe postoperative pain.
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Affiliation(s)
- Yilong Hu
- Department of General Surgery, Nanjing Yimin Hospital, Nanjing, China
| | - Zhengwei Zhang
- Department of Hepatobiliary and Pancreatic Surgery, Affiliated Xinghua People’s Hospital, Yangzhou University, Taizhou, China
| | - Feng Wang
- Department of General Surgery, Nanjing Yimin Hospital, Nanjing, China
| | - Xiewu Qiu
- Department of General Surgery, Nanjing Yimin Hospital, Nanjing, China
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Kashihara H, Shimada M, Yoshikawa K, Miyatani T, Tokunaga T, Nishi M, Takasu C, Yoshimoto T. Trans-abdominal Pre-peritoneal (TAPP) Inguinal Hernia Repair with Liquid-injection and Gauze Dissection. THE JOURNAL OF MEDICAL INVESTIGATION 2020; 67:271-273. [PMID: 33148900 DOI: 10.2152/jmi.67.271] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Purpose : This report describes a novel technique for trans-abdominal pre-peritoneal (TAPP) inguinal hernia repair using liquid injection and gauze dissection. Methods : Twenty-five cases underwent TAPP inguinal hernia repair with liquid-injection and gauze dissection. Before the initial peritoneal incision, liquid injection was performed percutaneously into the pre-peritoneal space at the outside of the internal inguinal ring and the inside of the seminal duct. Especially, at the inside of the seminal duct, the liquid was injected into the space between the superficial and deep lobe of pre-peritoneal fascia. Gauze was effectively used to dissect this liquid-injected space. Results : In comparison with the cases of inguinal hernia repair without liquid-injection and gauze dissection, the cases who underwent TAPP inguinal hernia repair with liquid-injection and gauze dissection experienced shorter operation times and no complications or recurrence. Conclusions : TAPP inguinal hernia repair with liquid-injection and gauze dissection appears to be a safe and feasible procedure. J. Med. Invest. 67 : 271-273, August, 2020.
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Affiliation(s)
- Hideya Kashihara
- Department of Surgery, Tokushima university, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
| | - Mitsuo Shimada
- Department of Surgery, Tokushima university, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
| | - Kozo Yoshikawa
- Department of Surgery, Tokushima university, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
| | - Tomohiko Miyatani
- Department of Surgery, Tokushima university, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
| | - Takuya Tokunaga
- Department of Surgery, Tokushima university, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
| | - Masaaki Nishi
- Department of Surgery, Tokushima university, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
| | - Chie Takasu
- Department of Surgery, Tokushima university, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
| | - Toshiaki Yoshimoto
- Department of Surgery, Tokushima university, 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan
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Coratti F, Trafeli M, Barbato G, Maggioni C, Manetti A, Cianchi F. The Gauze technique: a simple method of dissection in laparoscopic inguinal hernia repair. MINERVA CHIR 2020; 75:426-429. [PMID: 32456400 DOI: 10.23736/s0026-4733.20.08335-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Hernia repair is one of the most frequent operation in general surgery. The aim of this is study is to present a new preperitoneal atraumatic dissection of peritoneal flap during laparoscopic transabdominal preperitoneal inguinal hernia repair. METHODS From January 2019 to December 2019, 30 patients (19 male, 11 female) attended TAPP inguinal hernia repairs. The inclusion's criteria were: patients from 32 to 88 years; male and woman; bilateral inguinal hernia. RESULTS The median age of patients was 46,46 (32-88). The median time of operation was 63,8 (45-100) minutes. All procedures were performed without complications and convertions. CONCLUSIONS Based on our experience the soft technique is a safe and feasible way to create a preperitoneal flap. Operating time is drastically reduced and the learning curve is reduced even for less experienced surgeons.
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Affiliation(s)
- Francesco Coratti
- Unit of Digestive Surgery, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Florence, Italy -
| | - Martina Trafeli
- Unit of Digestive Surgery, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Florence, Italy
| | - Giuseppe Barbato
- Unit of Digestive Surgery, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Florence, Italy
| | - Cristina Maggioni
- Unit of Digestive Surgery, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Florence, Italy
| | - Andrea Manetti
- Unit of Digestive Surgery, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Florence, Italy
| | - Fabio Cianchi
- Unit of Digestive Surgery, Department of Surgery and Translational Medicine, University Hospital of Florence, University of Florence, Florence, Italy
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Nagata J, Watanabe J, Nagata M, Sawatsubashi Y, Akiyama M, Tajima T, Arase K, Minagawa N, Torigoe T, Nakayama Y, Horishita R, Kida K, Hamada K, Hirata K. Transperitoneal rectus sheath block and transversus abdominis plane block for laparoscopic inguinal hernia repair: A novel approach. Asian J Endosc Surg 2017; 10:336-338. [PMID: 28727314 DOI: 10.1111/ases.12370] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2016] [Revised: 11/16/2016] [Accepted: 02/07/2017] [Indexed: 02/04/2023]
Abstract
INTRODUCTION A laparoscopic approach for inguinal hernia repair is now considered the gold standard. Laparoscopic surgery is associated with a significant reduction in postoperative pain. Epidural analgesia cannot be used in patients with perioperative anticoagulant therapy because of complications such as epidural hematoma. As such, regional anesthetic techniques, such as ultrasound-guided rectus sheath block and transversus abdominis plane block, have become increasingly popular. However, even these anesthetic techniques have potential complications, such as rectus sheath hematoma, if vessels are damaged. We report the use of a transperitoneal laparoscopic approach for rectus sheath block and transversus abdominis plane block as a novel anesthetic procedure. MATERIAL AND SURGICAL TECHNIQUE An 81-year-old woman with direct inguinal hernia underwent laparoscopic transabdominal preperitoneal inguinal repair. Epidural anesthesia was not performed because anticoagulant therapy was administered. A Peti-needle™ was delivered through the port, and levobupivacaine was injected though the peritoneum. Surgery was performed successfully, and the anesthetic technique did not affect completion of the operative procedure. The patient was discharged without any complications. DISCUSSION This technique was feasible, and the procedure was performed safely. Our novel analgesia technique has potential use as a standard postoperative regimen in various laparoscopic surgeries. Additional prospective studies to compare it with other techniques are required.
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Affiliation(s)
- Jun Nagata
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Jun Watanabe
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Masato Nagata
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Yusuke Sawatsubashi
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Masaki Akiyama
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Takehide Tajima
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Koichi Arase
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Noritaka Minagawa
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Takayuki Torigoe
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Yoshifumi Nakayama
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Reiko Horishita
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Kentaro Kida
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Kotaro Hamada
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
| | - Keiji Hirata
- Department of Gastroenterological and General Surgery, Wakamatsu Hospital, University of Occupational and Environmental Health, Kitakyushu, Japan
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Poudel S, Kurashima Y, Kawarada Y, Watanabe Y, Murakami Y, Matsumura Y, Kato H, Miyazaki K, Shichinohe T, Hirano S. Development and validation of a checklist for assessing recorded performance of laparoscopic inguinal hernia repair. Am J Surg 2016; 212:468-74. [DOI: 10.1016/j.amjsurg.2015.09.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2015] [Revised: 08/20/2015] [Accepted: 09/22/2015] [Indexed: 10/22/2022]
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