Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation

Mohamed Salah Abdelhamid; Ayman Hamdi Abouleid; Mohamed Hasan Abdelmola; Ahmed Mohamed Rashad; Mahmoud Ahmed Negida; Ahmed Zaky Gharib

doi:doi:10.11648/j.js.20160402.13

Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation

Mohamed Salah Abdelhamid, Ayman Hamdi Abouleid, Mohamed Hasan Abdelmola, Ahmed Mohamed Rashad, Mahmoud Ahmed Negida, Ahmed Zaky Gharib

Published in Journal of Surgery (Volume 4, Issue 2)

Received: 25 February 2016 Accepted: 5 March 2016 Published: 23 March 2016

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Abstract

Laparoscopic transabdominal preperitoneal inguinal hernia repair wth external fixation is a new technique in which there is a marked reduction in the cost without affecting the outcome The issue of mesh fixation in laparoscopic repair of inguinal hernia repairs remains unsolved. The need for fixing the mesh arises from the fear of increasing recurrence rates. However, specific complications have emerged as a result of mesh fixation. The aim was to find out which is more satisfactory to the patients external fixation or internal fixation. In 80 patients the mesh were fixed from the interior using staples while in the other 80 patients it is fixed to the exterior using prolene threads (Abdelhamid Technique). We conducted A prospective study for laparoscopic TAPP inguinal hernia repair on 160 patients between September 2008 until May 2014 and we follow the patients till May 2015. In 80 we fixed the mesh to the exterior and in another 80 from the interior. There were 90 patients with direct inguinal hernia 45 done through external fixation (gp1) another 45 through internal fixation of the mesh (gp2), 70 patients with indirect inguinal hernia 35 external fixation (gp3) 35 internal fixation (gp4). We follow the patients for recurrence, impulse on cough, inguinal pain and sense of discomfort. The operative time ranged from 35 – 70minutes for external fixation, 30 -60 minutes for internal fixation. During this period we did not encounter any recurrence, but in group 1 there is one patient complained of impulse on cough and in group 2 there were three had the same complain. Regarding pain non of the external fixation patients complained of groin pain while in group 2 there were two and in group 4 there were two patients complained of groin pain. We concluded that in addition to much reduction in the cost as we did not use stapler nor tucker, external fixation is safe easy to learn, external fixation is associated with no groin pain compared to internal fixation and much less incidence of impulse of cough making this technique more acceptable to the patients.

Published in	Journal of Surgery (Volume 4, Issue 2)
DOI	10.11648/j.js.20160402.13
Page(s)	20-23
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair, Mesh Fixation, Cost, Stapling

References

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[3]	Wellwood J, Sculpher MJ, Stoker D (1998) Randomised controlled trial of laparoscopic versus open hernia repair for inguinal hernia: outcome and cost. Br Med J 317: 103-10
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[7]	Brooks DC (1994) A prospective comparison of laparoscopic and tension-free open herniorraphy. Arch Surg 129: 361-6
[8]	Seid AS, Amos E (1994) Entrapment neuropathy in laparoscopic herniorraphy. Surg Endosc 8: 1050-3
[9]	Schmedt CG, Sauerland S, Bittner R (2005) Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair. Surg Endosc 19: 188-99
[10]	McCormack K, Wake B, Perez J, Fraser C, Cook J, Mcintosh E (2005) Laparoscopic surgery for inguinal hernia repair: systemic review of effectiveness and economic evaluation. Health Technol Assess 9: 1-203
[11]	Ridings P, Evans DS (2000) The transabdominal pre-peritoneal (TAPP) inguinal hernia repair: a trip along the learning curve. J R Coll Surg Edinb 45(1): 29-32
[12]	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 Heidelberg, pp 265-289
[13]	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
[14]	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
[15]	A Watson, P Ziprin, S Chadwick (2006) TAPP Repair for Inguinal Hernias – A New Composite Mesh Technique. Ann R Coll Surg Engl, 88(7): 678
[16]	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
[17]	Schwab R, Schumacher O, Junge K, Binnebosel M, Klinge U, Becker HF (2008) Biomechanical analyses of mesh fixation in TAPP and TEP hernia repair. Surgical endoscopy 22(3): 731-8
[18]	Abdelhamid MS,(2011) Transabdominal pre peritoneal inguinal hernia repair with external fixation. Hernia 15(2): 185-188
[19]	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
[20]	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 Journal of Laparoscopic & Advanced Surgical Techniques volume 19 (3): 419-422
[21]	Abdelhamid MS*, Sadat AM, Abdelhaseeb AR, Nabil TM, Abdelbasset MS, Bechet AM, Nafady HA, Shawky KA (2013)Transabdominal Pre-Peritoneal Mesh for Inguinal Hernia Repair with External Fixation versus Mesh Stapling Journal of Surgical Science, volume 4, 516-519 Published Online November 2013 (http://www.scirp.org/journal/ss) http://dx.doi.org/10.4236/ss.2013.411100 Open Access SS

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APA Style

Mohamed Salah Abdelhamid, Ayman Hamdi Abouleid, Mohamed Hasan Abdelmola, Ahmed Mohamed Rashad, Mahmoud Ahmed Negida, et al. (2016). Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation. Journal of Surgery, 4(2), 20-23. https://doi.org/10.11648/j.js.20160402.13

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ACS Style

Mohamed Salah Abdelhamid; Ayman Hamdi Abouleid; Mohamed Hasan Abdelmola; Ahmed Mohamed Rashad; Mahmoud Ahmed Negida, et al. Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation. J. Surg. 2016, 4(2), 20-23. doi: 10.11648/j.js.20160402.13

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AMA Style

Mohamed Salah Abdelhamid, Ayman Hamdi Abouleid, Mohamed Hasan Abdelmola, Ahmed Mohamed Rashad, Mahmoud Ahmed Negida, et al. Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation. J Surg. 2016;4(2):20-23. doi: 10.11648/j.js.20160402.13

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@article{10.11648/j.js.20160402.13,
  author = {Mohamed Salah Abdelhamid and Ayman Hamdi Abouleid and Mohamed Hasan Abdelmola and Ahmed Mohamed Rashad and Mahmoud Ahmed Negida and Ahmed Zaky Gharib},
  title = {Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation},
  journal = {Journal of Surgery},
  volume = {4},
  number = {2},
  pages = {20-23},
  doi = {10.11648/j.js.20160402.13},
  url = {https://doi.org/10.11648/j.js.20160402.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20160402.13},
  abstract = {Laparoscopic transabdominal preperitoneal inguinal hernia repair wth external fixation is a new technique in which there is a marked reduction in the cost without affecting the outcome The issue of mesh fixation in laparoscopic repair of inguinal hernia repairs remains unsolved. The need for fixing the mesh arises from the fear of increasing recurrence rates. However, specific complications have emerged as a result of mesh fixation. The aim was to find out which is more satisfactory to the patients external fixation or internal fixation. In 80 patients the mesh were fixed from the interior using staples while in the other 80 patients it is fixed to the exterior using prolene threads (Abdelhamid Technique). We conducted A prospective study for laparoscopic TAPP inguinal hernia repair on 160 patients between September 2008 until May 2014 and we follow the patients till May 2015. In 80 we fixed the mesh to the exterior and in another 80 from the interior. There were 90 patients with direct inguinal hernia 45 done through external fixation (gp1) another 45 through internal fixation of the mesh (gp2), 70 patients with indirect inguinal hernia 35 external fixation (gp3) 35 internal fixation (gp4). We follow the patients for recurrence, impulse on cough, inguinal pain and sense of discomfort. The operative time ranged from 35 – 70minutes for external fixation, 30 -60 minutes for internal fixation. During this period we did not encounter any recurrence, but in group 1 there is one patient complained of impulse on cough and in group 2 there were three had the same complain. Regarding pain non of the external fixation patients complained of groin pain while in group 2 there were two and in group 4 there were two patients complained of groin pain. We concluded that in addition to much reduction in the cost as we did not use stapler nor tucker, external fixation is safe easy to learn, external fixation is associated with no groin pain compared to internal fixation and much less incidence of impulse of cough making this technique more acceptable to the patients.},
 year = {2016}
}

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TY  - JOUR
T1  - Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation
AU  - Mohamed Salah Abdelhamid
AU  - Ayman Hamdi Abouleid
AU  - Mohamed Hasan Abdelmola
AU  - Ahmed Mohamed Rashad
AU  - Mahmoud Ahmed Negida
AU  - Ahmed Zaky Gharib
Y1  - 2016/03/23
PY  - 2016
N1  - https://doi.org/10.11648/j.js.20160402.13
DO  - 10.11648/j.js.20160402.13
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 20
EP  - 23
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20160402.13
AB  - Laparoscopic transabdominal preperitoneal inguinal hernia repair wth external fixation is a new technique in which there is a marked reduction in the cost without affecting the outcome The issue of mesh fixation in laparoscopic repair of inguinal hernia repairs remains unsolved. The need for fixing the mesh arises from the fear of increasing recurrence rates. However, specific complications have emerged as a result of mesh fixation. The aim was to find out which is more satisfactory to the patients external fixation or internal fixation. In 80 patients the mesh were fixed from the interior using staples while in the other 80 patients it is fixed to the exterior using prolene threads (Abdelhamid Technique). We conducted A prospective study for laparoscopic TAPP inguinal hernia repair on 160 patients between September 2008 until May 2014 and we follow the patients till May 2015. In 80 we fixed the mesh to the exterior and in another 80 from the interior. There were 90 patients with direct inguinal hernia 45 done through external fixation (gp1) another 45 through internal fixation of the mesh (gp2), 70 patients with indirect inguinal hernia 35 external fixation (gp3) 35 internal fixation (gp4). We follow the patients for recurrence, impulse on cough, inguinal pain and sense of discomfort. The operative time ranged from 35 – 70minutes for external fixation, 30 -60 minutes for internal fixation. During this period we did not encounter any recurrence, but in group 1 there is one patient complained of impulse on cough and in group 2 there were three had the same complain. Regarding pain non of the external fixation patients complained of groin pain while in group 2 there were two and in group 4 there were two patients complained of groin pain. We concluded that in addition to much reduction in the cost as we did not use stapler nor tucker, external fixation is safe easy to learn, external fixation is associated with no groin pain compared to internal fixation and much less incidence of impulse of cough making this technique more acceptable to the patients.
VL  - 4
IS  - 2
ER  -

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Author Information

Mohamed Salah Abdelhamid

Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Ayman Hamdi Abouleid

Surgery Department, Bani-Suef Faculty of Medicine, Bani-Suef University, Bani-Suef, Egypt
Mohamed Hasan Abdelmola

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
Mahmoud Ahmed Negida

Surgery Department, Kasr Elaini Faculty of Medicine, Cairo University, Cairo, Egypt
Ahmed Zaky Gharib

Surgery Department, October 6th Faculty of Medicine, October 6th University, Giza, Egypt

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Plain Text BibTeX RIS

APA Style

Mohamed Salah Abdelhamid, Ayman Hamdi Abouleid, Mohamed Hasan Abdelmola, Ahmed Mohamed Rashad, Mahmoud Ahmed Negida, et al. (2016). Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation. Journal of Surgery, 4(2), 20-23. https://doi.org/10.11648/j.js.20160402.13

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ACS Style

Mohamed Salah Abdelhamid; Ayman Hamdi Abouleid; Mohamed Hasan Abdelmola; Ahmed Mohamed Rashad; Mahmoud Ahmed Negida, et al. Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation. J. Surg. 2016, 4(2), 20-23. doi: 10.11648/j.js.20160402.13

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AMA Style

Mohamed Salah Abdelhamid, Ayman Hamdi Abouleid, Mohamed Hasan Abdelmola, Ahmed Mohamed Rashad, Mahmoud Ahmed Negida, et al. Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation. J Surg. 2016;4(2):20-23. doi: 10.11648/j.js.20160402.13

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@article{10.11648/j.js.20160402.13,
  author = {Mohamed Salah Abdelhamid and Ayman Hamdi Abouleid and Mohamed Hasan Abdelmola and Ahmed Mohamed Rashad and Mahmoud Ahmed Negida and Ahmed Zaky Gharib},
  title = {Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation},
  journal = {Journal of Surgery},
  volume = {4},
  number = {2},
  pages = {20-23},
  doi = {10.11648/j.js.20160402.13},
  url = {https://doi.org/10.11648/j.js.20160402.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20160402.13},
  abstract = {Laparoscopic transabdominal preperitoneal inguinal hernia repair wth external fixation is a new technique in which there is a marked reduction in the cost without affecting the outcome The issue of mesh fixation in laparoscopic repair of inguinal hernia repairs remains unsolved. The need for fixing the mesh arises from the fear of increasing recurrence rates. However, specific complications have emerged as a result of mesh fixation. The aim was to find out which is more satisfactory to the patients external fixation or internal fixation. In 80 patients the mesh were fixed from the interior using staples while in the other 80 patients it is fixed to the exterior using prolene threads (Abdelhamid Technique). We conducted A prospective study for laparoscopic TAPP inguinal hernia repair on 160 patients between September 2008 until May 2014 and we follow the patients till May 2015. In 80 we fixed the mesh to the exterior and in another 80 from the interior. There were 90 patients with direct inguinal hernia 45 done through external fixation (gp1) another 45 through internal fixation of the mesh (gp2), 70 patients with indirect inguinal hernia 35 external fixation (gp3) 35 internal fixation (gp4). We follow the patients for recurrence, impulse on cough, inguinal pain and sense of discomfort. The operative time ranged from 35 – 70minutes for external fixation, 30 -60 minutes for internal fixation. During this period we did not encounter any recurrence, but in group 1 there is one patient complained of impulse on cough and in group 2 there were three had the same complain. Regarding pain non of the external fixation patients complained of groin pain while in group 2 there were two and in group 4 there were two patients complained of groin pain. We concluded that in addition to much reduction in the cost as we did not use stapler nor tucker, external fixation is safe easy to learn, external fixation is associated with no groin pain compared to internal fixation and much less incidence of impulse of cough making this technique more acceptable to the patients.},
 year = {2016}
}

Copy | Download

TY  - JOUR
T1  - Patients Satisfaction Post Laparoscopic Transabdominal Preperitoneal Inguinal Hernia Repair with External Fixation Versus Post Internal Fixation
AU  - Mohamed Salah Abdelhamid
AU  - Ayman Hamdi Abouleid
AU  - Mohamed Hasan Abdelmola
AU  - Ahmed Mohamed Rashad
AU  - Mahmoud Ahmed Negida
AU  - Ahmed Zaky Gharib
Y1  - 2016/03/23
PY  - 2016
N1  - https://doi.org/10.11648/j.js.20160402.13
DO  - 10.11648/j.js.20160402.13
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 20
EP  - 23
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20160402.13
AB  - Laparoscopic transabdominal preperitoneal inguinal hernia repair wth external fixation is a new technique in which there is a marked reduction in the cost without affecting the outcome The issue of mesh fixation in laparoscopic repair of inguinal hernia repairs remains unsolved. The need for fixing the mesh arises from the fear of increasing recurrence rates. However, specific complications have emerged as a result of mesh fixation. The aim was to find out which is more satisfactory to the patients external fixation or internal fixation. In 80 patients the mesh were fixed from the interior using staples while in the other 80 patients it is fixed to the exterior using prolene threads (Abdelhamid Technique). We conducted A prospective study for laparoscopic TAPP inguinal hernia repair on 160 patients between September 2008 until May 2014 and we follow the patients till May 2015. In 80 we fixed the mesh to the exterior and in another 80 from the interior. There were 90 patients with direct inguinal hernia 45 done through external fixation (gp1) another 45 through internal fixation of the mesh (gp2), 70 patients with indirect inguinal hernia 35 external fixation (gp3) 35 internal fixation (gp4). We follow the patients for recurrence, impulse on cough, inguinal pain and sense of discomfort. The operative time ranged from 35 – 70minutes for external fixation, 30 -60 minutes for internal fixation. During this period we did not encounter any recurrence, but in group 1 there is one patient complained of impulse on cough and in group 2 there were three had the same complain. Regarding pain non of the external fixation patients complained of groin pain while in group 2 there were two and in group 4 there were two patients complained of groin pain. We concluded that in addition to much reduction in the cost as we did not use stapler nor tucker, external fixation is safe easy to learn, external fixation is associated with no groin pain compared to internal fixation and much less incidence of impulse of cough making this technique more acceptable to the patients.
VL  - 4
IS  - 2
ER  -

Copy | Download