Trial reportHernia : the journal of hernias and abdominal wall surgery2011
Occult hernias detected by laparoscopic totally extra-peritoneal inguinal hernia repair: a prospective study.
Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 44 citations in OpenAlex.
- Bilateral totally extraperitoneal (TEP) repair of the ultrasound-diagnosed asymptomatic contralateral inguinal hernia.Surgical endoscopy · 2018Trial
- Article
- Clinical outcomes of concurrent repair of occult contralateral inguinal hernias during TAPP: a retrospective cohort study.Frontiers in surgery · 2026Article
- Article
- Incidentally found obturator hernias during totally extraperitoneal (TEP) inguinal hernia repair: a single-center experience.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- The "Little-Old-Lady's Hernia", Obturator Hernia: A Case Report and Literature Review.Case reports in surgery · 2024Article
- Incarcerated obturator hernia, an extremely rare cause of intestinal obstruction: case series.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- The incidence and analysis of ipsilateral occult hernia in patients undergoing hernia repair: a single institution retrospective study of 1066 patients.BMC surgery · 2021Article
- A Case of bilateral concomitant inguinal and femoral hernias treated with transabdominal preperitoneal repair.Clinical case reports · 2020Article
- Long-term follow-up of endoscopic totally extraperitoneal direct inguinal hernia repair using the Endoloop technique.Surgical endoscopy · 2019Article
- Contemporary thoughts on the management of Spigelian hernia.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Review of 1000 fibrin glue mesh fixation during endoscopic totally extraperitoneal (TEP) inguinal hernia repair.Surgical endoscopy · 2016Article
- Obturator hernia as a frequent finding during laparoscopic pelvic exploration: A retrospective observational study.Medicine · 2016Observational
- Two-stage laparoscopic treatment for strangulated inguinal, femoral and obturator hernias: totally extraperitoneal repair followed by intestinal resection assisted by intraperitoneal laparoscopic exploration.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Incidental non-inguinals hernias in totally extra-peritoneal hernia repair.Annals of the Royal College of Surgeons of England · 2015Article
- Mesh fixation with fibrin sealant during endoscopic totally extraperitoneal inguinal hernia approach: a review of 640 repairs.Hernia : the journal of hernias and abdominal wall surgery · 2013Article
- The incidence and natural course of occult inguinal hernias during TAPP repair: repair is beneficial.Surgical endoscopy · 2013Article
- Totally extraperitoneal repair of inguinal hernia: techniques and pitfalls of a challenging procedure.Langenbeck's archives of surgery · 2012Article
- Unsuspected femoral hernia in patients with a preoperative diagnosis of recurrent inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2012Article
- Occult Para-Psoas Hernia during Routine Endoscopic Totally Extraperitoneal Inguinal Hernia Repair.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
3 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOne distinct advantage of laparoscopic inguinal hernia repair is the opportunity for clear visualization of the direct, indirect, femoral, obturator and other groin spaces. The aim of this study was to examine/assess the potential of the laparoscopic totally extraperitoneal (TEP) inguinal hernia repair method in detecting unexpected additional hernias.
methodsPatients who underwent an elective inguinal hernia repair, in the department of abdominal surgery at the institute of laparoscopic surgery (ILS, Bordeaux, France) between September 2003 and July 2005 were enrolled prospectively in the study. The patients' demographic data, operative, postoperative course and outpatient follow-up were studied.
resultsA total of 337 laparoscopic inguinal hernia repairs were performed in 263 patients. Of these, 189 patients had unilateral hernia (109 right and 80 left) and 74 patients had bilateral hernias. Indirect hernias were the most common, followed by direct and then femoral hernias. There were 218 male patients and 45 female patients with a mean age of 60 ± 15 years. There were 44 unexpected hernias: 6 spegilian hernias, 19 obturator hernias and another 19 femoral hernias. Two patients were converted to transabdominal preperitoneal (TAPP) due to surgical difficulties. There were no major intraoperative complications in all patients except for three cases of bleeding arising from the inferior epigastric artery. Only one patient had postoperative bleeding and was re-operated on several hours after the hernia repair. No recurrence occurred in the present series.
conclusionsThe laparoscopic inguinal hernia repair approach allows viewing of the entire myopectineal orifice, facilitating repair of any unexpected hernias and thereby reducing the chance of recurrence.
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