Abstract
Smaller individual series on the outcome of laparoscopic hernioplasty techniques have been reported. This study reports on the complications of 3,229 laparoscopic hernia repairs performed by the authors in 2,559 patients. The TAPP (transabdominal preperitoneal) technique was the most frequently performed: 1,944 (60%). The totally preperitoneal technique was performed 578 (18%) times. The IPOM (intraperitoneal onlay mesh) repair was performed 345 (11%) times. The plug-and-patch technique was used 286 (9%) times and simple closure of the hernia defect without mesh was used in 76 (2%) repairs. Overall, there were 336 (10%) complications: 17 (0.5%) major and 265 (8%) minor. There were 54 (1.6%) recurrences, with a mean follow-up of 22 months. The TAPP technique had 19 (1%) recurrences and 141 (7%) complications. There were four bowel obstructions in this subgroup from herniation of small bowel through the peritoneal closure and trocar sites. The totally preperitoneal technique had no recurrence and 60 (10%) complications. The IPOM group had 7 (2%) recurrences and 47 (14%) complications. The plug-and-patch technique had 26 (9%) recurrences and 24 (8%) complications. The simple closure of the internal ring had 2 (3%) recurrences and 10 (13%) complications. Laparoscopic hernioplasty is not without complications. Training, experience, and attention to technique will prevent some of these complications.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Barbier J (1984) Traitment des hernies inguinales salon la technique de McVay: a propos de 1000 cas. Chirurgie 100: 144–149
Barbier J, Carretier M, Richer JP (1989) Cooper ligament repair: an update. World J Surg 13: 499–505
Ben-David R (1994) Expectations of hernia surgery. In: Paterson-Brown S, Garden J (eds) Principles and practices of surgical laparoscopy. WB Saunders (in press)
Brown R, Kinateder RJ, Rosenberg N (1980) Ipsilateral thrombophlebitis and pulmonary embolism after Cooper's ligament herniorrhaphy. Surgery 87: 743–745
Cheatle GL (1920) An operation for the radical cure of inguinal and femoral hernia. Br Med J 2: 68
Corbitt JD (1991) Laparoscopic herniorrhaphy. Surg Laparosc Endosc 1: 23–25
Fitzgibbons RJ (1992) Laparoscopic inguinal herniorrhaphy. Washington, DC, SAGES 1992 Postgraduate Course, April 1992
Fitzgibbons R, Annibali R, Litke B, et al. (1993) A multicentered clinical trial on laparoscopic inguinal hernia repair: preliminary results. Phoenix, Arizona, SAGES Annual Meeting, April 1993
Franklin MJ (1993) San Antonio, Texas. Personal communication
Gazareli MM (1992) Anatomical laparoscopic hernia repair of direct or indirect inguinal hernias using the transversalis fascia and iliopubic tract. Surg Laparosc Endosc 2: 49–52
Ger R (1982) The management of certain abdominal hernias by intra-abdominal closure of the sac. Ann R Coll Eng 64: 342–344
Mishrick, A, Ger R, Monroe R, Duvivier R, et al. (1990) Management of indirect inguinal hernias by a laparoscopic closure of the neck of the sac. Am J Surg 159: 370
MacFadyen BV, Arregui M, Corbitt J, et al. (1993) Complications of laparoscopic herniorrhaphy. Surg Endosc 7: 155–158
McKernan JB, Laws H (1992) Laparoscopic preperitoneal prosthetic repair of inguinal hernias. Surg Rounds 15: 597–608
Moosman DA, Oelrich TM (1977) Prevention of accidental trauma to the ilioinguinal nerve during inguinal herniorrhaphy. Am J Surg 133: 146–148
Nyhus LM, Condon RE, Harkins HN (1960) Clinical experiences with preperitoneal hernial repair for all types of hernia of the groin. Am J Surg 100: 234–244
Nyhus LM, Pollack R, Bombeck CT, Donahue PE (1988) The preperitoneal approach and prosthetic buttress repair for recurrent hernia: the evolution of a technique. Ann Surg 208: 733
Obney N (1956) Hydroceles of the testicle complicating inguinal hernias. Can Med Assoc J 75: 733–736
Phillips EH, Carroll BJ, Fallas MJ (1993) Laparoscopic preperitoneal inguinal hernia repair without peritoneal incision: technique and early clinical results. Surg Endosc 7: 159–162
Phillips EH (in press) Complications of laparoscopic herniorrhaphy. In: Ben-David R (ed) Prosthesis and abdominal wall hernia surgery. RG Landes Company, Austin, TX
Phillips EH, Carroll BJ (1993) Laparoscopic inguinal hernia repair. Gastrointest Endosc Clin North Am 3(2): 297–306
Read R (1983) The Cheatle-Henry approach to the groin. Surg Rounds 6: 50–57
Schultz L, Graber J, Pietrafitta J, Hickok D (1990) Laser laparoscopic herniorrhaphy: a clinical trial preliminary results. J Laparoendosc Surg 1: 41
Schultz L, Graber J, Pietrafitta J, Hickok, D (1990) Laparoscopic inguinal herniorrhaphy: a clinical trial preliminary results. J Laparoendosc Surg 1: 41–45
Stoppa R, Rives JL, Warlamount C, Palot JP, Verhaege PJ, Delattre JF (1984) The use of dacron in the repair of hernias of the groin. Surg Clin North Am 64(2): 269–285
Stoppa RE, Wartaumont CR (1989) The preperitoneal approach and prosthetic repair of groin hernia. In: Nyhus LM, Condon RE (eds) Hernia. JB Lippincott, Philadelphia, pp 199–225
Toy FK, Smoot RT (1992) Toy-Smoot laparoscopic hernioplasty. Del Med J 64: 23–28
Wantz GE (1984) Complications of inguinal hernial repair. Surg Clin North Am 64(2): 287–298
Stoker DL, Spiegelhalter DJ, Singh R, Wellwood JM (1994) Laparoscopic versus open inguinal hernia repair: randomized prospective trial. Lancet 343: 1243–1245
Payne JH Jr., Grininger LM, Izawa MT, Podoll EF, Lindahl PJ, Balfour J (1994) Laparoscopic or open inguinal herniorrhaphy? A randomized prospective trial. Archives Surg 129: 973–981
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Phillips, E.H., Arregui, M., Carroll, B.J. et al. Incidence of complications following laparoscopic hernioplasty. Surg Endosc 9, 16–21 (1995). https://doi.org/10.1007/BF00187878
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00187878