Primary Inguinal Hernia Repair Using TAPP with External Fixation (Abdelhamid Technique) Versus Prolene Hernia System
Advances in Surgical Sciences
Volume 5, Issue 3, June 2017, Pages: 36-40
Received: Apr. 8, 2017;
Accepted: Apr. 19, 2017;
Published: May 31, 2017
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Mohamed Salah Abdelhamid, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Tamer Mohamed Nabil, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Hesham Ahmed Nafady, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Amr Mohamed Ali, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Ahmed Mohamed Rashad, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Seham Anwar Emam, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Ibrahim Said Abdelaziz, Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Tamer Elgaabary, Surgery Department, Fayum Faculty of Medicine, Fayum University, Fayum, Egypt
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Purpose To asses TAPP with external fixation against PHS and to find which is more suitable in primary inguinal hernia repair. Inguinal hernia repair is the most frequently performed operation in general surgery and so even modest improvements in clinical outcomes are important. The most important criteria for the choice of method are safety (morbidity and mortality), recurrence rates and convenience for the patient, including the risk of chronic groin pain. In recent years, great importance has been placed on the short-term comfort of the patient, measured by post operative pain and the length of convalescence. This is a retrospective study for 250 patients done years ago at Al Hayat Hospital Jeddah, KSA, Bani-Suif University Hospital and Bani Suif Health Insurance Hospital. The study design and data collection were between 10 -2015 and 10 – 2016. We reported the patients for duration of operation, hospital stay, cost, recurrence, and return to work. The mean operative time in TAPP with external fixation was 70 min while in PHS was 55 min. The cost was less in PHS while long of stay [LOS] was the same. Recurrence was 1.5% in TAPP with external fixation on the other hand it was 4% in PHS. Patients returned back to work after 5 days in TAPP with external fixation and after 9 days in PHS. It is to be concluded that TAPP with external fixation is associated with longer operative time and higher cost but the incidence of recurrence is much less while return to work was earlier in TAPP with external fixation advocating it to be used as a primary option in primary inguinal hernia repair.
Inguinal, TAPP, PHS, External Fixation
To cite this article
Mohamed Salah Abdelhamid,
Tamer Mohamed Nabil,
Hesham Ahmed Nafady,
Amr Mohamed Ali,
Ahmed Mohamed Rashad,
Seham Anwar Emam,
Ibrahim Said Abdelaziz,
Primary Inguinal Hernia Repair Using TAPP with External Fixation (Abdelhamid Technique) Versus Prolene Hernia System, Advances in Surgical Sciences.
Vol. 5, No. 3,
2017, pp. 36-40.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Wall ML, CherianTH and. Lotz JC (2008) Laparoscopic Hernia Repair—The Best Option?” Acta Chirurgica Belgica, 108: 186-191.
Poobalan AS, Bruce J, King PM (2001) Chronic pain and quality of life following open inguinal hernia repair. Br J Surg; 88: 1122-1126.
Wantz GE (1999) Abdominal wall hernias. In Schwartz SI (ed). Principles of Surgery, 6th ed.: Mc Grow-Hill, Inc., New York; pp 1541-44.
Neugebauer EAM, Troidi H, Kum CK (2006) The EAES clinical practice guidelines on laparoscopic cholecystectomy, appendectomy and hernia repair. In: Neugebauer EAM, Sauerland S, Fingerhut A, Millat B, Buess G (eds) EAES guidelines for endoscopic surgery. Springer, Berlin, pp 265-289.
Koniger J, Redecke J, Butters M (2004) Chronic pain after hernia repair: a randomized trial comparing Shouldice, Lichtenstein and TAPP. Langens Arch Surg 389:361-365.
Tatulli F, Chetta G, Caputi A, Mastrototaro P, Ruggieri T (2009) Laparoscopic inguinal hernia repair: audit of our experience with laparoscopic trans-abdominal pro-peritoneal repair (TAPP) Chir Ital 61(1):47-53.
Abdelhamid MS, Sadat AM, Abdelhakim AF, Nabil TM, Abdelbasset MS, Bechet AMA, Nafady HA, Shawky KA (2013) Transabdominal Pre-Peritoneal Mesh for Inguinal Hernia Repair with External Fixation versus Mesh Stapling Surgical science 4: 516-519.
Olmi S, Erba L, Bertolini A, Scaini A (2006) Fibrin glue for mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) hernia repair indications, technique and outcomes. Surg Endosc 20(12):1846-1850.
Kapiris S, Mavromatis T, Andrikopoulus S, Georgiades C, Floros D, Diamantoupolus G (2009) Laparoscopic transabdominal preperitoneal hernia repair (TAPP): stapling the mesh is not mandatory. J Laparosc Adv Surg Tech 19(3):419-422.
Licheris, Erdas E, Martinasco L, (2004) Treatment of inguinal hernia with PHS. Chir Ital 56 (1): 127-34.
Gilbert Al, Graham MF (1995) Improved sutureless technique – advice to experts. Problems in General surgery 12: 117-9.
Lichtenstein IL, Shulman Ag, Amid PK, Montllor MM (1989) The tension-free hernioplasty. Am J Surg 157: 188-93.
Rutkow IM, Robbins AW (1993) Tension-free inguinal hernioplasty: a preliminary report on the mesh plug technique. Surgery; 114: 308-312.
Abdelhamid MS (2011) Transabdominal pre-peritoneal inguinal hernia repair with external fixation Hernia 15:185-188.
Chandiramani VA, Katara AW, Pandyas M, et al (2003): PHS in the tension free repair of primary inguinal hernias. Ind J. Surg 65 (6): 488-491.
Watson A, Ziprin P, Chadwick S (2006) TAPP repair for inguinal hernias—a new composite mesh technique. Ann R Coll Surg Engl 88(7):678-681.
Voyles CR, Hamilton BJ, Johnson WD, Kano N (2002) Metaanalysis of laparoscopic inguinal hernia trials favors open hernia repair with preperitoneal prosthesis. Am J Surg 184:6-10.
Schwab R, Schumacher O, Junge K, Binnebosel M, Klinge U, Becker HF (2008) Biomechanical analyses of mesh fixation in TAPP and TEP hernia repair. Surg Endosc 22(3):731-738.
AbdelhamidMS, Abouleid AH, Abdelmola MH, Rashad AM, Negida MA, Gharib AZ (2016) Patients Satisfaction Post Laparoscopic TransabdominalPreperitoneal Inguinal Hernia Repair with External FixationVersus Post Internal Fixation. Journal of Surgery 4(2): 20-23.
Olmi S, Erba L, Bertolini A, Scaini A, (2006) Fibrin glue for mesh fixation in laparoscopic transabdominal preperitoneal (TAPP) hernia repair indications, technique and outcomes. Surgical Endoscopy volume 20 (12): 1846-1850.
Kapiris S, Mavromatis T, Andrikopoulus S, Georgiades C, Floros D, Diamantoupolus G, (2009) Laparoscopic Transabdominal Preperitoneal Hernia Repair (TAPP): Staplingthe Mesh Is Not Mandatory. Journal of Laparoscopic &Advanced Surgical Techniques 19 (3): 419-422.
Voyles CR, Hamilton BJ, Johnson WD, Kano N (2002) Meta-analysis of laparoscopic inguinal hernia trials favors open hernia repair with preperitoneal prosthesis. Am J Surg 184:6-10.