Video-endoscopic Tension-free Groin Hernia Repair via Total Extraperitoneal Approach

dc.contributor.authorDogan, Sami
dc.contributor.authorGurleyik, Emin
dc.date.accessioned2021-12-01T18:47:20Z
dc.date.available2021-12-01T18:47:20Z
dc.date.issued2020
dc.department[Belirlenecek]en_US
dc.description.abstractIntroduction Tension-free repair of groin hernias with synthetic material by video-endoscopic surgery is a widely accepted method that is performed by various approaches. We aim to present our results of video-endoscopic tension-free repair of groin hernias via the total extraperitoneal (TEP) approach. Methods Between September 2016 and December 2018, 124 patients with groin hernias underwent tension-free repair using prolene mesh by video-endoscopic surgery via the TEP approach. This is a retrospective analysis of 110 (88.7%) male and 14 (11.3%) female patients with a mean age of 48.1 years. Groin hernia types, locations of hernias, intraoperative and postoperative complications, results of the mean 24-month follow-up, and recurrence rate were reported. Results A total of 134 hernias were repaired in 124 patients who had 53 (42.7%) right, 61 (49.2%) left, and 10 (8.1%) bilateral groin hernias. The most common hernia type was an indirect inguinal hernia in 83/134 (62%) groin hernias. A total of 119 (88.8%) and 15 (11.2%) hernias were primary and recurrent, respectively. Seroma was detected in two (1.6%) patients in the early postoperative period. The mean duration of hospital stay was 1.4 (1-3) days. During the follow-up period, hernia recurrence was determined in three (2.4%) patients. Hernia recurrence was detected among patients who were operated on during the first half of the study. Conclusion Tension-free repair of groin hernias by video-endoscopic technique via the TEP approach can be performed with very low complication and recurrence rates. The success of the TEP approach increases parallel to increasing surgical experience. The results of hernia repair via the TEP approach are highly satisfactory and encouraging, especially when attention is paid to proper patient selection during the learning curve period.en_US
dc.identifier.doi10.7759/cureus.6839
dc.identifier.issn2168-8184
dc.identifier.issue2en_US
dc.identifier.pmid32175206en_US
dc.identifier.urihttps://doi.org/10.7759/cureus.6839
dc.identifier.urihttps://hdl.handle.net/20.500.12684/10238
dc.identifier.volume12en_US
dc.identifier.wosWOS:000510401400003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherCureus Incen_US
dc.relation.ispartofCureusen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectinguinalen_US
dc.subjecttep approachen_US
dc.subjectrecurrenceen_US
dc.subjectprolene meshen_US
dc.subjectLaparoscopic Total Extraperitonealen_US
dc.subjectInguinal-Herniaen_US
dc.subjectLearning-Curveen_US
dc.subjectMesh Fixationen_US
dc.subjectFollow-Upen_US
dc.subjectHerniorrhaphyen_US
dc.subjectTepen_US
dc.titleVideo-endoscopic Tension-free Groin Hernia Repair via Total Extraperitoneal Approachen_US
dc.typeArticleen_US

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