Comparison of traditional and laparoscopic procedures for recurrent inguinal hernia after laparoscopic repair

Bogdanov D.Yu.

Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0003-0631-5487

Rutenburg G.M.

St. George Martyr Municipal Hospital;
Pavlov First St. Petersburg State Medical University

ORCID: 0000-0002-9353-0769

Navid M.N.

Peoples’ Friendship University of Russia

ORCID: 0000-0003-1790-1158

Ramazanov R.B.

St. George Martyr Municipal Hospital

ORCID: 0000-0001-7986-2700

Guseinov I.I.

Peoples’ Friendship University of Russia

ORCID: 0000-0002-1290-3640

Comparison of traditional and laparoscopic procedures for recurrent inguinal hernia after laparoscopic repair

Authors:

Bogdanov D.Yu., Rutenburg G.M., Navid M.N., Ramazanov R.B., Guseinov I.I.

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Journal: Endoscopic Surgery. 2024;30(1): 20‑25

DOI: 10.17116/endoskop20243001120

Downloaded: 52

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To cite this article:

Bogdanov DYu, Rutenburg GM, Navid MN, Ramazanov RB, Guseinov II. Comparison of traditional and laparoscopic procedures for recurrent inguinal hernia after laparoscopic repair. Endoscopic Surgery. 2024;30(1):20‑25. (In Russ.)
https://doi.org/10.17116/endoskop20243001120

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OBJECTIVE

Perform a comparative analysis of traditional and laparoscopic hernia repair for recurrent hernia after laparoscopic approach.

MATERIAL AND METHODS

We have analyzed the results of 137 cases of recurrent inguinal hernias after laparoscopic hernioplasty (64 patients underwent re-TAPP: 35 (54.7%) — standard hernioplasty, 29 (45.3%) patients — with our own modification; 73 patients underwent standard Lichtenstein procedure.

RESULTS

The average time spent on the Liechtenstein procedure after primary TAPP was 48.4±3.9, which was significantly less than with Re-TAPP — 67±4.1, respectively (Kruskal Wallis test (χ²=115, df=3, p<0.001)). There were no significant intraoperative and postoperative complications in the groups. The pain index in patients operated on according to the Lichtenstein method was somewhat higher and averaged 4.5 points on the LAS scale in the range of 1—2 days and 2.1 in the range of 3—6 days; in patients after Re-TAPP 3.1 points on days 1—2 and 1.3 on days 3—6 (Mann—Whitney test U=254, p<0.0001).

CONCLUSION

The laparoscopic technique for recurrent inguinal hernia (after prior TAPP) is effective, but its implementation is possible only in hospitals with extensive experience in minor invasive inguinal hernioplasty.

Keywords:

inguinal hernia repair

Lichtenstein hernia repair

TAPP

endoscopic hernioplasty

recurrent inguinal hernia

Authors:

Bogdanov D.Yu.

Yevdokimov Moscow State University of Medicine and Dentistry

ORCID: 0000-0003-0631-5487

Rutenburg G.M.

St. George Martyr Municipal Hospital;
Pavlov First St. Petersburg State Medical University

ORCID: 0000-0002-9353-0769

Navid M.N.

Peoples’ Friendship University of Russia

ORCID: 0000-0003-1790-1158

Ramazanov R.B.

St. George Martyr Municipal Hospital

ORCID: 0000-0001-7986-2700

Guseinov I.I.

Peoples’ Friendship University of Russia

ORCID: 0000-0002-1290-3640

Received:

19.09.2023

Accepted:

26.09.2023

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