ArticleSurgical endoscopy2021
Long-term outcomes after bilateral transabdominal preperitoneal (TAPP) repair for asymptomatic contralateral inguinal hernia.
Article in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.
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Who cites it
9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 12 citations in OpenAlex.
- Should occult contralateral inguinal hernias be repaired during unilateral TAPP? A systematic review and single-arm meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Watchful waiting vs. early repair for asymptomatic and mildly symptomatic inguinal hernia - silent hernia, loud debate: a qualitative systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Comparison of laparoscopic iliopubic tract repair and transabdominal preperitoneal hernioplasty for contralateral occult inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Bilateral Inguinal Hernia Repair: Laparoscopic Totally Extraperitoneal Versus Open Lichtenstein.Acta medica Lituanica · 2025Article
- A retrospective study of 3D laparoscopy and 2D laparoscopy in transabdominal preperitoneal (TAPP) for unilateral inguinal hernia in elderly patients.Updates in surgery · 2024Article
- Laparoscopic iliopubic tract repair for asymptomatic contralateral occult inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- RAWS4all project: validation of a new silicone model for robotic TAPP inguinal hernia repair.Surgical endoscopy · 2024Article
- A new approach to enter Retzius space in laparoscopic transabdominal preperitoneal bilateral inguinal hernia repair.BMC surgery · 2023Article
- Clinical Data Analysis for Treatment of Adult Inguinal Hernia by TAPP or TEP.Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSurgical management of an asymptomatic inguinal hernia is controversial but given that most of the patients will develop symptoms, the hernioplasty seems to be a reasonable option. We aimed to compare postoperative outcomes after transabdominal preperitoneal (TAPP) repair between patients with symptomatic bilateral hernia (SBH) and patients with one symptomatic hernia and an asymptomatic contralateral hernia (ACH).
methodsA consecutive series of patients undergoing bilateral laparoscopic TAPP from July 2014 to June 2018 were included. Symptomatic hernia was defined as a groin bulge associated to pain and altered patient's daily activities. Patients were divided into two groups, those with SBH and those with one symptomatic hernia in whom an ACH was diagnosed by physical examination or ultrasound when clinical assessment was inconclusive. Demographics, operative, and postoperative outcomes were compared. Quality of life (QoL) was assessed before and after surgery in both groups.
resultsA total of 305 bilateral TAPP repairs were included; 102 (33, 4%) patients had SBH and 203 (66, 6%) had ACH. There were no significant differences between groups regarding age, gender, body mass index, active smoking, and comorbidities. Operative time (SBH: 125 vs. ACH: 132 min, p = 0.13) and overall 30-day morbidity were similar between groups (SBH: 14, 7% vs. ACH: 13, 8%, p = 0.82). After a mean follow-up of 30 (10-48) months, the recurrence rate was 1, 4% and 2, 2% in SBH and ACH, respectively (p = 0.53). QoL after surgery improved significantly and similarly in both groups.
conclusionBilateral laparoscopic TAPP in the setting of an asymptomatic hernia did not increase morbidity and had similar outcomes when compared to patients with bilateral symptoms. A comprehensive preoperative evaluation of the contralateral groin should be routinely performed, mainly by physical examination, and a bilateral repair may be proposed if an asymptomatic contralateral hernia is detected.
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