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Preperitoneal repair for recurrent inguinal hernia: Laparoscopic and open approach

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Abstract

Background: The aim of this study was to investigate the outcome of preperitoneal repair using laparoscopic (TEP) and open (OPM) approach in recurrent inguinal hernia. Methods: We performed a prospective controlled nonrandomized clinical study in 188 patients with 207 recurrent inguinal hernias over a period of 5 years. TEP repair was employed for 86 repairs, and OPM was used in 121 procedures. The main outcome measurements were: recurrence rate, operating time, hospital stay, and postoperative complications. Results: There were three recurrences (1.7%). Two in the OPM group (1.8%) and one (1.3%) in the TEP group [P=NS (not significant)]. The TEP procedure was faster than OPM for unilateral repair (40.8 vs 46.3 min) (P<0.001). Postoperative complications were more frequent in the OPM group (23.9%) than the TEP group (13.9%) (P=NS). Hospital stay was significantly shorter in the TEP group (1.2 vs 3.9 days) (P<0.001). Conclusions: Preperitoneal approach (open or laparoscopic) seems to be a good option in recurrent inguinal hernia when these procedures are done by experienced surgeons.

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Author notes

  1. X. Feliu

    Present address: , Cavall Bernat 8, 08230, Matadepera (Barcelona), Spain

Authors and Affiliations

  1. Department of Surgery, Hospital General d’Igualada, Passeig Verdaguer 128, 08700 , Barcelona, Spain

    X. Feliu, X. Viñas & E. Fernández-Sallent

  2. Hospital Municipal de Badalona, Vía Augusta 9–13, 08911 , Barcelona, Spain

    G. Torres, F. Martínez-Ródenas & J. Pie

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  1. X. Feliu
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  2. G. Torres
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  3. X. Viñas
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  4. F. Martínez-Ródenas
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  5. E. Fernández-Sallent
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  6. J. Pie
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Correspondence to X. Feliu.

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Feliu, X., Torres, G., Viñas, X. et al. Preperitoneal repair for recurrent inguinal hernia: Laparoscopic and open approach. Hernia 8, 113–116 (2004). https://doi.org/10.1007/s10029-003-0179-0

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  • DOI: https://doi.org/10.1007/s10029-003-0179-0

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