OPEN MESH PREPERITONEAL GROIN HERNIA REPAIR

Authors

  • Witia Ade Ansari Faculty of Medicine, University of Jambi, Indonesia Author
  • Sri Putri Handayani General Practitioner, Bhayangkara Jambi Hospital, Indonesia Author
  • Dita Febriana General Practitioner, Erni Medika General Hospital, Jambi, Indonesia Author
  • Deviani Utami General Practitioner, Abdul Moeloek Regional Hospital, Indonesia Author
  • Ahmad Wirawan Faculty of Medicine, University of Sriwijaya, Indonesia Author

DOI:

https://doi.org/10.61841/pts6m645

Keywords:

Groin hernia, herniorrhaphy, open mesh, preperitoneal repair

Abstract

Introduction: Surgeons are currently debating the best method for inguinal hernia repair, with a focus on minimizing recurrences and addressing chronic pain. Laparoscopic approaches, especially those incorporating preperitoneal mesh placement, offer potential benefits by avoiding close proximity to nerves in the inguinal canal and reducing pain.     

Methods: The researchers in this study followed the 2020 Preferred Reporting Items for Systematic Review and MetaAnalysis (PRISMA) guidelines to ensure that their work met the required standards. This was done to ensure the precision and reliability of the conclusions derived from the research.

Result Our search produced 11 results. After looking at the titles and summaries, we found several  papers that fit our criteria. At first, we excluded few articles because they were written in review and case report style. But after reading the full papers carefully, we included five papers in our final analysis. These papers included prospective randomized threearm study with intention to treat analysis and various retrospective studies.

Conclusion: The study recommends the open preperitoneal approach for inguinal hernia repair, citing lower recurrence rates and reduced midline laparotomy instances, especially beneficial in cases involving intestinal resection. Additionally, a comparison between Transrectus Sheath Preperitoneal (TREPP) and Transinguinal Preperitoneal (TIPP) approaches reveals comparable chronic pain rates, with TIPP favored for learning curve-associated recurrences and superior shortterm pain outcomes in TREPP, highlighting the importance of individualized surgical choices. A comparison between Totally Extraperitoneal (TAPP) and Mesh Plug (MP) procedures for bilateral primary inguinal hernia reveals TAPP as a feasible, safe, and less painful option, with lower chronic pain rates and favorable long-term outcomes. The choice between TAPP and MP depends on individual considerations such as operative time, postoperative pain, and anesthesia preferences. 

References

Pelissier EP, Koning GG, Ngo P. Comment on article entitled "Open preperitoneal groin hernia repair with mesh: A qualitative systematic review". Am J Surg. 2018;216(1):184-185. doi:10.1016/j.amjsurg.2017.01.037

Harvitkar RU, Gattupalli GB, Al-Hano H, Al-Kharouf KF, Joshi A. Laparoscopic Groin Hernia Repair Using the Totally Extraperitoneal Approach: A Retrospective Study and Our Experience. Cureus. 2023;15(6):e41151. Published 2023 Jun 29. doi:10.7759/cureus.41151

M.M. Elmessiry, A.A. Gebaly, Laparoscopic versus open mesh repair of bilateral primary inguinal hernia: A three-armed Randomized controlled trial, Annals of Medicine and Surgery, Volume 59, 2020, Pages 145-150, ISSN 2049-0801,https://doi.org/10.1016/j.amsu.2020.08.055.

(https://www.sciencedirect.com/science/article/pii/S2049080120303022)

Andresen K, Rosenberg J. Open preperitoneal groin hernia repair with mesh: A qualitative systematic review. Am J Surg. 2017;213(6):1153-1159. doi:10.1016/j.amjsurg.2017.01.014

Elsabagh A, Mien-Chew C, Bowles T . Open Pre-peritoneal Mesh Repair for Groin Hernia-Experience from a Rural Regional Hospital in W estern Australia. Journal of Surgery [Jurnalul de chirurgie]. 2019; 15(1): 11-14

Rodrigues-Gonçalves V, Verdaguer M, Moratal M, Blanco R, Bravo-Salva A, Pereira-Rodíguez JA and LópezCano M (2022) Open Emergent Groin Hernia Repair: Anterior or Posterior Approach? J. Abdom. Wall Surg. 1:10586. doi: 10.3389/jaws.2022.10586

Bökkerink WJV, Koning GG, Vriens PWHE, et al. Open Preperitoneal Inguinal Hernia Repair, TREPP Versus TIPP in a Randomized Clinical Trial. Ann Surg. 2021;274(5):698-704. doi:10.1097/SLA.0000000000005130

Takayama Y, Kaneoka Y, Maeda A, Takahashi T, Uji M. Laparoscopic transabdominal preperitoneal repair versus open mesh plug repair for bilateral primary inguinal hernia. Ann Gastroenterol Surg. 2020; 4: 156–162. https://doi.org/10.1002/ags3.12314

Gupta S, Krishna A, Jain M, et al. A three-arm randomized study to compare sexual functions and fertility indices following open mesh hernioplasty (OMH), laparoscopic totally extra peritoneal (TEP) and transabdominal preperitoneal (TAPP) repair of groin hernia. Surg Endosc. 2021;35(6):3077-3084. doi:10.1007/s00464-02007697-z

Hernia Surge Group (2018) International guidelines for groin hernia management. Hernia 22: 1-165.

Andresen K, Rosenberg J (2017) Open preperitoneal groin hernia repair with mesh: A qualitative systematic review. Am J Surg 21: 1153-1159.

Isil RG, Avlanmis O (2020) Effects of totally extraperitoneal and lichtenstein hernia repair on men’s sexual function and quality of life. Surg Endosc 34(3):1103–1111

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Published

2024-01-14

How to Cite

Ansari, W. A., Handayani, S. P., Febriana, D., Utami, D., & Wirawan, A. (2024). OPEN MESH PREPERITONEAL GROIN HERNIA REPAIR. Journal of Advanced Research in Medical and Health Science (ISSN 2208-2425), 10(1), 101-109. https://doi.org/10.61841/pts6m645

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